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 3/22/2012 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 4/21/2012  4/20/2012  4/20/2012 



Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Joint Replacement - Hip
Certification 7/2/2013  4/23/2013  4/23/2013 
Joint Replacement - Knee
Certification 7/2/2013  4/23/2013  4/23/2013 




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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.
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:
Jul  2012 -
Jun  2013
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.
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
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 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.
SCIP – Venous Thromboembolism (VTE) See Detail
   
Laboratory Accreditation Program
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 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
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 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 Imaging Center - Greenfield
                          740 W. Green Meadows Drive
                          Greenfield, IN  46140
                            Services:
                            • General Outpatient Services (Outpatient)
                            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 Physical Therapy and Rehab - East
                                    7910 East Washington Street
                                    Indianapolis, IN  46219
                                      Services:
                                      • General Outpatient Services (Outpatient)
                                      Community Regional Cancer Center, Indianapolis
                                      7229 Clearvista Drive
                                      Indianapolis, IN  46256
                                        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)
                                          Diabetes Care Center
                                          8501 East 56th St. Suite 130
                                          Indianapolis, IN  46216
                                            Services:
                                            • General Outpatient Services (Outpatient)
                                            Gallahue Mental Health Services at Lutheran Child
                                            1525 N Ritter Avenue
                                            Indianapolis, IN  46219
                                                GMHC Crestview Center
                                                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 (Non 24 Hour Care - Child/Youth)
                                                  GMHC Hancock County Office
                                                  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 (Non 24 Hour Care - Child/Youth)
                                                    • Services Supporting Rehabilitation and Resilience (Non 24 Hour Care - Child/Youth)
                                                    GMHC Shelby County Office
                                                    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 (Non 24 Hour Care - Child/Youth)
                                                      • Services Supporting Rehabilitation and Resilience (Non 24 Hour Care - Child/Youth)
                                                      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 & Occupational Health Ctr.
                                                            8177 Clearvista Pky.
                                                            Indianapolis, IN  46256
                                                              Services:
                                                              • General Laboratory Tests
                                                              • General Outpatient Services (Outpatient)
                                                              MedCheck East & Occupational Health Ctr.
                                                              7910 East Washington Street, Suite 110
                                                              Indianapolis, IN  46219-1969
                                                                Services:
                                                                • General Laboratory Tests
                                                                • General Outpatient Services (Outpatient)
                                                                MedCheck Greenwood & Occupational Health Ctr.
                                                                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)
                                                                        Oncology Infusion Center
                                                                        1340 North Madison Avenue
                                                                        Anderson, IN  46011
                                                                          Services:
                                                                          • General Outpatient Services (Outpatient)
                                                                          Pediatric Care Center
                                                                          5502 E. 16th St.
                                                                          Indianapolis, IN  46219
                                                                            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
                                                                                  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)
                                                                                        Sleep Lab
                                                                                        7250 Clearvista Drive Suite 350
                                                                                        Indianapolis, IN  46256
                                                                                          Services:
                                                                                          • General Outpatient Services (Outpatient)
                                                                                          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 (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)

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