The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Memorial Medical Center
Org ID: 7431
701 North First Street
Springfield, IL  62781-0001
(217)788-3000
www.memorialmedical.com


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Behavioral Health Care
Accredited 11/14/2012 11/13/2012   11/13/2012  
Home Care
Accredited 11/16/2012 11/15/2012   11/15/2012  
Hospital
Accredited 11/17/2012 11/16/2012   1/11/2013  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Memorial Home Services of Central Illinois
644 North Second Street, Springfield, IL. 62781-0001
Jacksonville Joint Ventures, LLC
306A North Westgate, Jacksonville, IL. 62650
Memorial Home Services Taylorville Branch
100 West Franklin, Taylorville, IL. 62568
Memorial Home Services
1214 Woodlawn Road B3, Lincoln, IL. 62656
Hospital


Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Lung Volume Reduction Surgery
Certification 4/20/2013  4/19/2013  4/19/2013 
Primary Stroke Center
Certification 6/8/2012  6/27/2014  6/27/2014 



Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Joint Replacement - Hip
Certification 8/22/2011  7/15/2014  7/15/2014 
Joint Replacement - Knee
Certification 8/22/2011  7/15/2014  7/15/2014 


Certification programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Lung Volume Reduction Surgery


Other Accredited Programs / Services
Hospital  -  Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)
Laboratory Accreditation Program  -  Accredited by American Society for Histocompatibility and Immunogenetics (ASHI)


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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:
Oct  2012 -
Sep  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 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 above the target range/value.
This organization’s performance is above the target range/value.
  • Blood Vessel Surgery
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above 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 above the target range/value.
This organization’s performance is above 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 above 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.
  • Open Heart Surgery
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
   
 
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
Jacksonville Joint Ventures, LLC
DBA:  Passavant Home Services
306A North Westgate
Jacksonville, IL  62650
    Services:
    • Canes and Crutches
    • Clinical Respiratory
    • Commodes
    • Continuous Passive Motion (CPM) Device
    • Continuous Positive Airway Pressure
    • Custom Orthotics
    • Durable Medical Equipment
    • Enteral Equipment and/or Supplies
    • Enteral Nutrients
    • Gastric Suction Pumps
    • Heat/Cold Applications
    • Hospital Beds - Electric
    • Invasive Mechanical Ventilation
    • Mechanical In-Exsufflation Devices
    • Nebulizers
    • Off The Shelf Orthotics
    • Ostomy Supplies
    • Oxygen
    • Parenteral Equipment and/or Supplies
    • Parenteral Nutrients
    • Patient Lifts and Accessories
    • Pneumatic Compression Devices
    • Power Operated Vehicles (or scooters)
    • Prosthetics (Home Medical Equipment)
    • Respiratory Assist Devices
    • Respiratory Equipment
    • Seat Lift Mechanisms
    • Suction Pump
    • Supplies
    • Support Surfaces - For Beds
    • Surgical Dressings
    • Tens Units
    • Tracheostomy Supplies
    • Traction Equipment
    • Ventilators Accessories/Supplies
    • Voice Prostheses
    • Walkers, Canes and Crutches
    • Wheelchair Seating / Cushions
    • Wheelchairs - Manual Non-Custom
    • Wheelchairs-Standard Manual Accessories
    Koke Mill Medical Center (Medical Imaging and Rehab Center)
    3132 Old Jacksonville Road
    Springfield, IL  62704
      Services:
      • Outpatient Clinics (Outpatient)
      Memorial Home Services
      DBA:  Memorial Home Services
      720 North Bond Street
      Springfield, IL  62702
        Services:
        • Home Health Aides
        • Home Health, Non-Hospice Services
        • Hospice Care
        • Medical Social Services
        • Occupational Therapy
        • Physical Therapy
        • Skilled Nursing Services
        • Speech Language Pathology
        • Telehealth
        • Wound Care
        Memorial Home Services
        1214 Woodlawn Road B3
        Lincoln, IL  62656
          Services:
          • Canes and Crutches
          • Clinical Respiratory
          • Commodes
          • Continuous Passive Motion (CPM) Device
          • Continuous Positive Airway Pressure
          • Custom Orthotics
          • Durable Medical Equipment
          • Enteral Equipment and/or Supplies
          • Enteral Nutrients
          • Gastric Suction Pumps
          • Heat/Cold Applications
          • Hospital Beds - Electric
          • Intrapulmonary Percussive Ventilation
          • Invasive Mechanical Ventilation
          • Mechanical In-Exsufflation Devices
          • Nebulizers
          • Off The Shelf Orthotics
          • Ostomy Supplies
          • Oxygen
          • Patient Lifts and Accessories
          • Pneumatic Compression Devices
          • Power Operated Vehicles (or scooters)
          • Power Wheelchairs
          • Prosthetics (Home Medical Equipment)
          • Respiratory Assist Devices
          • Respiratory Equipment
          • Seat Lift Mechanisms
          • Speech Generating Device
          • Supplies
          • Support Surfaces - For Beds
          • Surgical Dressings
          • Tens Units
          • Tracheostomy Supplies
          • Traction Equipment
          • Ultaviolet Light Devices
          • Ventilators Accessories/Supplies
          • Voice Prostheses
          • Walkers, Canes and Crutches
          • Wheelchair Seating / Cushions
          • Wheelchairs - Manual Non-Custom
          • Wheelchairs-Standard Manual Accessories
          • Wheelchairs-Standard Power Accessories
          Memorial Home Services of Central Illinois
          DBA:  Memorial Home Services of Central Illinois
          644 North Second Street
          Springfield, IL  62781-0001
            Services:
            • Breast Prosthesis
            • Canes and Crutches
            • Clinical Respiratory
            • Commodes
            • Continuous Passive Motion (CPM) Device
            • Continuous Positive Airway Pressure
            • Custom Orthotics
            • Durable Medical Equipment
            • Enteral Equipment and/or Supplies
            • Enteral Nutrients
            • Gastric Suction Pumps
            • Heat/Cold Applications
            • Hospital Beds - Electric
            • Intrapulmonary Percussive Ventilation
            • Invasive Mechanical Ventilation
            • Mechanical In-Exsufflation Devices
            • Nebulizers
            • Off The Shelf Orthotics
            • Ostomy Supplies
            • Oxygen
            • Patient Lifts and Accessories
            • Physical Medicine and Rehabilitation
            • Pneumatic Compression Devices
            • Power Operated Vehicles (or scooters)
            • Power Wheelchairs
            • Prosthetics (Home Medical Equipment)
            • Respiratory Assist Devices
            • Respiratory Equipment
            • Seat Lift Mechanisms
            • Speech Generating Device
            • Suction Pump
            • Supplies
            • Support Surfaces - For Beds
            • Surgical Dressings
            • Tens Units
            • Tracheostomy Supplies
            • Traction Equipment
            • Ultaviolet Light Devices
            • Urological Supplies
            • Ventilators Accessories/Supplies
            • Voice Prostheses
            • Walkers, Canes and Crutches
            • Wheelchair Seating / Cushions
            • Wheelchairs - Manual Custom
            • Wheelchairs - Manual Non-Custom
            • Wheelchairs-Complex Rehabilitative Power Wheelchairs
            • Wheelchairs-Complex Rehabilitiative Manual Accessories
            • Wheelchairs-Complex Rehabilitiative Power Accessories
            • Wheelchairs-Standard Manual Accessories
            • Wheelchairs-Standard Power Accessories
            Memorial Home Services Taylorville Branch
            DBA:  Memorial Home Services Taylorville Branch
            100 West Franklin
            Taylorville, IL  62568
              Services:
              • Canes and Crutches
              • Clinical Respiratory
              • Commodes
              • Continuous Passive Motion (CPM) Device
              • Continuous Positive Airway Pressure
              • Custom Orthotics
              • Durable Medical Equipment
              • Enteral Equipment and/or Supplies
              • Enteral Nutrients
              • Gastric Suction Pumps
              • Heat/Cold Applications
              • Home Health Aides
              • Home Health, Non-Hospice Services
              • Hospital Beds - Electric
              • Intrapulmonary Percussive Ventilation
              • Invasive Mechanical Ventilation
              • Mechanical In-Exsufflation Devices
              • Medical Social Services
              • Nebulizers
              • Occupational Therapy
              • Off The Shelf Orthotics
              • Ostomy Supplies
              • Oxygen
              • Patient Lifts and Accessories
              • Physical Therapy
              • Pneumatic Compression Devices
              • Power Operated Vehicles (or scooters)
              • Power Wheelchairs
              • Prosthetics (Home Medical Equipment)
              • Respiratory Assist Devices
              • Respiratory Equipment
              • Seat Lift Mechanisms
              • Skilled Nursing Services
              • Speech Generating Device
              • Speech Language Pathology
              • Suction Pump
              • Supplies
              • Support Surfaces - For Beds
              • Surgical Dressings
              • Tens Units
              • Tracheostomy Supplies
              • Traction Equipment
              • Ultaviolet Light Devices
              • Urological Supplies
              • Ventilators Accessories/Supplies
              • Voice Prostheses
              • Walkers, Canes and Crutches
              • Wheelchair Seating / Cushions
              • Wheelchairs - Manual Non-Custom
              • Wheelchairs-Standard Manual Accessories
              • Wheelchairs-Standard Power Accessories
              Memorial Industrial Rehab
              775 Engineering Drive
              Springfield, IL  62703
                Services:
                • Outpatient Clinics (Outpatient)
                Memorial Medical Center  *
                701 North First Street
                Springfield, IL  62781-0001
                Joint Commission Advanced Certification Programs:
                • Lung Volume Reduction Surgery
                • Primary Stroke Center
                Joint Commission Certified Programs:
                • Joint Replacement - Hip
                • Joint Replacement - Knee
                  Services:
                  • Behavioral Health (Day Programs - Adult)
                    (24-hour Acute Care/Crisis Stabilization - Adult)
                    (Partial - Adult)
                  • Brachytherapy (Imaging/Diagnostic Services)
                  • Burn Unit (Inpatient)
                  • Cardiac Catheterization Lab (Surgical Services)
                  • Cardiac Surgery (Surgical Services)
                  • Cardiothoracic Surgery (Surgical Services)
                  • Cardiovascular Unit (Inpatient)
                  • CT Scanner (Imaging/Diagnostic Services)
                  • Dialysis Unit (Inpatient)
                  • Ear/Nose/Throat Surgery (Surgical Services)
                  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
                  • Gastroenterology (Surgical Services)
                  • GI or Endoscopy Lab (Imaging/Diagnostic Services)
                  • Gynecological Surgery (Surgical Services)
                  • Gynecology (Inpatient)
                  • Hematology/Oncology Unit (Inpatient)
                  • Interventional Radiology (Imaging/Diagnostic Services)
                  • Labor & Delivery (Inpatient)
                  • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
                  • Medical /Surgical Unit (Inpatient)
                  • Medical ICU (Intensive Care Unit)
                  • Neuro/Spine ICU (Intensive Care Unit)
                  • Neuro/Spine Unit (Inpatient)
                  • Neurosurgery (Surgical Services)
                  • Normal Newborn Nursery (Inpatient)
                  • Nuclear Medicine (Imaging/Diagnostic Services)
                  • Ophthalmology (Surgical Services)
                  • Orthopedic Surgery (Surgical Services)
                  • Orthopedic/Spine Unit (Inpatient)
                  • Pediatric Unit (Inpatient)
                  • Plastic Surgery (Surgical Services)
                  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
                  • Post Anesthesia Care Unit (PACU) (Inpatient)
                  • Radiation Oncology (Imaging/Diagnostic Services)
                  • Rehabilitation Unit (Inpatient, 24-hour Acute Care/Crisis Stabilization)
                  • Sleep Laboratory (Sleep Laboratory)
                  • Surgical ICU (Intensive Care Unit)
                  • Surgical Unit (Inpatient)
                  • Teleradiology (Imaging/Diagnostic Services)
                  • Thoracic Surgery (Surgical Services)
                  • Transplant Surgery (Surgical Services)
                  • Ultrasound (Imaging/Diagnostic Services)
                  • Urology (Surgical Services)
                  • Vascular Surgery (Surgical Services)
                  Memorial Wound Healing Center
                  DBA:  Memorial Wound Healing Center
                  901 North First Street
                  Springfield, IL  62781-0001
                    Services:
                    • Brachytherapy (Imaging/Diagnostic Services)
                    • Burn Unit (Inpatient)
                    • Cardiac Catheterization Lab (Surgical Services)
                    • Cardiac Surgery (Surgical Services)
                    • Cardiothoracic Surgery (Surgical Services)
                    • Cardiovascular Unit (Inpatient)
                    • CT Scanner (Imaging/Diagnostic Services)
                    • Dialysis Unit (Inpatient)
                    • Ear/Nose/Throat Surgery (Surgical Services)
                    • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
                    • Gastroenterology (Surgical Services)
                    • GI or Endoscopy Lab (Imaging/Diagnostic Services)
                    • Gynecological Surgery (Surgical Services)
                    • Gynecology (Inpatient)
                    • Hematology/Oncology Unit (Inpatient)
                    • Interventional Radiology (Imaging/Diagnostic Services)
                    • Labor & Delivery (Inpatient)
                    • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
                    • Medical /Surgical Unit (Inpatient)
                    • Medical ICU (Intensive Care Unit)
                    • Neuro/Spine Unit (Inpatient)
                    • Neurosurgery (Surgical Services)
                    • Normal Newborn Nursery (Inpatient)
                    • Nuclear Medicine (Imaging/Diagnostic Services)
                    • Orthopedic Surgery (Surgical Services)
                    • Orthopedic/Spine Unit (Inpatient)
                    • Outpatient Clinics (Outpatient)
                    • Pediatric Unit (Inpatient)
                    • Plastic Surgery (Surgical Services)
                    • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
                    • Post Anesthesia Care Unit (PACU) (Inpatient)
                    • Radiation Oncology (Imaging/Diagnostic Services)
                    • Sleep Laboratory (Sleep Laboratory)
                    • Surgical ICU (Intensive Care Unit)
                    • Surgical Unit (Inpatient)
                    • Teleradiology (Imaging/Diagnostic Services)
                    • Thoracic Surgery (Surgical Services)
                    • Transplant Surgery (Surgical Services)
                    • Ultrasound (Imaging/Diagnostic Services)
                    • Urology (Surgical Services)
                    Menard County Medical Center-Physical Therapy
                    On Centre Drive
                    Petersburg, IL  62675
                      Services:
                      • Outpatient Clinics (Outpatient)
                      Simmons Cancer Institute(Medical Imaging only)
                      315 W. Carpenter Street
                      Springfield, IL  62781
                        Services:
                        • Outpatient Clinics (Outpatient)
                        Spineworks Pain Center
                        501 North First Street
                        Springfield, IL  62702
                          Services:
                          • Outpatient Clinics (Outpatient)
                          • Perform Invasive Procedure (Outpatient)
                          The Hearing Center at Memorial
                          664 N. Second Street
                          Springfield, IL  62702
                            Services:
                            • Outpatient Clinics (Outpatient)
                            YMCA (Sportcare & Medical Imaging)
                            4550 W. Iles Avenue
                            Springfield, IL  62781
                              Services:
                              • Outpatient Clinics (Outpatient)

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