The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Abraham Lincoln Memorial Hospital
Org ID: 7373
315 8th Street
Lincoln, IL  62656
(217)732-5060
www.almh.org

Accreditation Decision: Accredited
Decision Effective Date: October 25, 2008
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Critical Access Hospital 10/24/2008 10/24/2008  


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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
Critical Access 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
Not displayed.
3
Not displayed.
3
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 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 similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Colon/Large Intestine Surgery
See Detail
Not displayed.
3
Not displayed.
3
  • Hip Joint Replacement
See Detail
Not displayed.
3
Not displayed.
3
  • 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
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
Abraham Lincoln Memorial Hospital  *
315 8th Street
Lincoln, IL  62656
  • Acute Care
  • Acute Coronary Syndrome (Outpatient)
  • Acute Myocardial Infarction (Inpatient, Outpatient)
  • Adolescent medicine (Inpatient, Outpatient)
  • Advanced Fetal Care (Inpatient, Outpatient)
  • Alzheimers Disease (Inpatient, Outpatient)
  • Anxiety/panic disorders (Outpatient)
  • Arthritis (Inpatient, Outpatient)
  • Asthma (Inpatient, Outpatient)
  • Asthma, Pediatrics (Inpatient, Outpatient)
  • Atrial Fibrillation (Inpatient, Outpatient)
  • Audiology (Outpatient)
  • Benign prostatic hyperplasia (BPH) (Inpatient, Outpatient)
  • Breast Cancer (Inpatient, Outpatient)
  • Burn Treatment (Outpatient)
  • Cellulitis (Inpatient, Outpatient)
  • Cerebral Bleeding (Outpatient)
  • Chronic Kidney Disease (Inpatient, Outpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient, Outpatient)
  • Coagulopathy Treatment (Inpatient, Outpatient)
  • Colon/Rectal Cancer (Inpatient, Outpatient)
  • Coronary Artery Disease (Inpatient, Outpatient)
  • Crohn's Disease (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Cystic Fibrosis (Inpatient, Outpatient)
  • Depression (Inpatient, Outpatient)
  • Diabetes Mellitus (Inpatient, Outpatient)
  • Eating Disorders (Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient, Outpatient)
  • End Stage Renal Disease (Inpatient, Outpatient)
  • Epilepsy (Inpatient, Outpatient)
  • Esophageal Cancer (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • Gastroesophageal Reflux Disease (Inpatient, Outpatient)
  • General Medical Services (Inpatient)
  • General Surgery (Inpatient)
  • GI or Endoscopy Lab (Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Head Injury (Outpatient)
  • Heart Failure (Inpatient, Outpatient)
  • Hemophilia (Inpatient, Outpatient)
  • Hepatitis B/C (Inpatient, Outpatient)
  • Hip Joint Replacement (Inpatient, Outpatient)
  • HIV/AIDS (Inpatient, Outpatient)
  • Hodgkin's disease (Inpatient, Outpatient)
  • Hyperbilirubinemia (Inpatient, Outpatient)
  • Hyperlipidemia (Inpatient, Outpatient)
  • Hypertension (Inpatient, Outpatient)
  • Hyperthyroidism/Hypothyroidism (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infusion Services (Outpatient)
  • Inpatient Diabetes (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Intraventricular hemorrhage (Outpatient)
  • Irritable Bowel Syndrome (Inpatient, Outpatient)
  • Ischemic Heart Disease (Inpatient, Outpatient)
  • Joint Replacement - Knee (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Laminectomy (Inpatient, Outpatient)
  • Leukemia (Inpatient, Outpatient)
  • Liver Diseases (Inpatient, Outpatient)
  • Low Back Pain (Inpatient, Outpatient)
  • Lung Cancer (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Microdiscectomy (Inpatient, Outpatient)
  • Migraine Headache (Inpatient, Outpatient)
  • Morbid Obesity (Inpatient, Outpatient)
  • Multiple Sclerosis (Inpatient, Outpatient)
  • Necrotizing Enteral Colitis (Inpatient, Outpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Nutrition Programs (Inpatient, Outpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Outpatient)
  • Oral Maxillofacial Surgery (Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Osgood-Schlatter (Outpatient)
  • Osteoporosis (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Outpatient)
  • Pancreatic Cancer (Inpatient, Outpatient)
  • Pancreatitis (Inpatient, Outpatient)
  • Parkinsons Disease (Inpatient, Outpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Pediatric Emergency Department (Outpatient - Child/Youth)
  • Pediatric Emergency Medicine (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Gastroenterology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric General Surgery (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Nephrology (Outpatient - Child/Youth)
  • Pediatric Orthopedics (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Otolaryngology (Outpatient - Child/Youth)
  • Pediatric Pathology (Outpatient - Child/Youth)
  • Pediatric Physical Medicine and Rehab (Outpatient - Child/Youth)
  • Pediatric Radiology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pelvic Inflammatory Disease (Inpatient, Outpatient)
  • Perimenopause (Inpatient, Outpatient)
  • Peripheral Vascular Disease (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Pneumonia (Inpatient, Outpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Prematurity (Inpatient, Outpatient)
  • Prostate Cancer (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient, Outpatient)
  • Respite Care (Inpatient)
  • Self Injury (Inpatient, Outpatient)
  • Sexually Transmitted Disease (Inpatient, Outpatient)
  • Sickle Cell Disease (Inpatient, Outpatient)
  • Sleep Center (Outpatient)
  • Sleeping Disorder (Outpatient)
  • Spine Care (Inpatient, Outpatient)
  • Sports Medicine (Outpatient)
  • Stroke Rehabilitation (Inpatient, Outpatient)
  • Subacute Care (Inpatient)
  • Systemic Lupus Erythematosis (Inpatient, Outpatient)
  • Telemetry (Inpatient)
  • Tobacco Treatment / Cessation (Outpatient)
  • Trauma (Inpatient, Outpatient)
  • Tuberculosis (Inpatient, Outpatient)
  • Ulcerative Colitis (Inpatient, Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urology (Inpatient, Outpatient)
  • Weight Loss (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)

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