The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
CGH Medical Center
Org ID: 7435
100 East LeFevre Rd
Sterling, IL  61081
(815)625-0400
www.cghmc.com


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Home Care
Accredited 12/21/2013 12/20/2013   12/20/2013  
Hospital
Accredited 12/21/2013 12/20/2013   12/20/2013  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Hospital





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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
Home Care
2013 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
2013 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 above the target range/value.
This organization’s performance is above 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.
  • 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.
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
CGH Health Center, LTD
DBA:  Lynn Blvd.
3010 Lynn Boulevard
Sterling, IL  61081
    Services:
    • Outpatient Clinics (Outpatient)
    CGH Health Centers, LTD.
    DBA:  Milledgeville
    505 East Old Mill Street
    Milledgeville, IL  61051
      Services:
      • Outpatient Clinics (Outpatient)
      CGH Health Centers, LTD.
      DBA:  Morrison
      105 S. Heaton Street
      Morrison, IL  61270
        Services:
        • Outpatient Clinics (Outpatient)
        CGH Health Centers, LTD.
        DBA:  Polo
        711 Division Street
        Polo, IL  61064
          Services:
          • Outpatient Clinics (Outpatient)
          CGH Health Centers, LTD.
          DBA:  Downtown
          15 W. Third Street
          Sterling, IL  61081
          Other Clinics/Practices located at this site:
          • Ready Care Clinic
          Services:
          • Outpatient Clinics (Outpatient)
          CGH Health Centers, LTD.
          DBA:  Prophetstown
          212 East Railroad Street
          Prophetstown, IL  61277
            Services:
            • Outpatient Clinics (Outpatient)
            CGH Health Centers, LTD.
            DBA:  Rock Falls
            100 W. 1st Street
            Rock Falls, IL  61071
              Services:
              • Outpatient Clinics (Outpatient)
              CGH Health Centers, LTD.
              DBA:  Tampico
              123 South Main Street
              Tampico, IL  61283
                Services:
                • Outpatient Clinics (Outpatient)
                CGH Health Centers, LTD.
                DBA:  Vision and Oral Surgery
                10 W. 3rd Street
                Sterling, IL  61081
                  Services:
                  • Anesthesia (Outpatient)
                  • Outpatient Clinics (Outpatient)
                  CGH Health Centers, LTD.
                  DBA:  Walnut
                  131 Jackson Street
                  Walnut, IL  61376
                    Services:
                    • Outpatient Clinics (Outpatient)
                    CGH Health Centers, LTD.
                    DBA:  Dixon
                    1321 N. Galena Avenue
                    Dixon, IL  61021
                      Services:
                      • Administration of High Risk Medications (Outpatient)
                      • Outpatient Clinics (Outpatient)
                      • Perform Invasive Procedure (Outpatient)
                      CGH Health Centers, Ltd.
                      DBA:  Locust
                      1809 N. Locust Street
                      Sterling, IL  61081
                        Services:
                        • Outpatient Clinics (Outpatient)
                        CGH Home Nursing and Home Infusion
                        3010 E. Lynn Blvd
                        Sterling, IL  61081
                          Services:
                          • Durable Medical Equipment
                          • Enteral Equipment and/or Supplies
                          • Enteral Nutrients
                          • External Infusion Pumps and/or Supplies
                          • Home Health Aides
                          • Home Health, Non-Hospice Services
                          • Medical Social Services
                          • Parenteral Equipment and/or Supplies
                          • Parenteral Nutrients
                          • Pharmacy, Clinical Consulting Services
                          • Pharmacy/Dispensary,General Services
                          • Physical Therapy
                          • Skilled Nursing Services
                          • Speech Language Pathology
                          • Supplies
                          CGH Medical Center
                          DBA:  Main Clinic
                          101 E. Miller Road
                          Sterling, IL  61081
                            Services:
                            • Administration of High Risk Medications (Outpatient)
                            • Outpatient Clinics (Outpatient)
                            • Perform Invasive Procedure (Outpatient)
                            CGH Medical Center  *
                            100 East LeFevre Road
                            Sterling, IL  61081-1279
                              Services:
                              • Cardiac Catheterization Lab (Surgical Services)
                              • CT Scanner (Imaging/Diagnostic Services)
                              • 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)
                              • Labor & Delivery (Inpatient)
                              • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
                              • Medical /Surgical Unit (Inpatient)
                              • Medical ICU (Intensive Care Unit)
                              • Normal Newborn Nursery (Inpatient)
                              • Nuclear Medicine (Imaging/Diagnostic Services)
                              • Ophthalmology (Surgical Services)
                              • Orthopedic Surgery (Surgical Services)
                              • Outpatient Clinics (Outpatient)
                              • Pediatric Unit (Inpatient)
                              • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
                              • Post Anesthesia Care Unit (PACU) (Inpatient)
                              • Sleep Laboratory (Sleep Laboratory)
                              • Surgical Unit (Inpatient)
                              • Teleradiology (Imaging/Diagnostic Services)
                              • Thoracic Surgery (Surgical Services)
                              • Ultrasound (Imaging/Diagnostic Services)
                              • Urology (Surgical Services)
                              • Vascular Surgery (Surgical Services)
                              CGH Wound Healing Center
                              1809 N. Locust Street
                              Sterling, IL  61081
                                Services:
                                • Outpatient Clinics (Outpatient)
                                • Perform Invasive Procedure (Outpatient)

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