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





- Top -
  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
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  2013 -
Sep  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 below the target range/value.
This organization’s performance is below the target range/value.
Immunization See Detail
Not displayed.
8
Not displayed.
8
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.
  • 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.

- Top -
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 Dixon Medical Center
DBA:  CGH Dixon Medical Center
1321 N. Galena Avenue
Dixon, IL  61021
    Services:
    • Administration of High Risk Medications (Outpatient)
    • Outpatient Clinics (Outpatient)
    CGH Downtown Medical Center
    DBA:  CGH Downtown Medical Center
    15 W. Third Street
    Sterling, IL  61081
    Other Clinics/Practices located at this site:
    • Ready Care Clinic
    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
      • Occupational Therapy
      • 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 Locust Street Medical Center
      DBA:  CGH Locust Street Medical Center
      1809 N. Locust Street
      Sterling, IL  61081
        Services:
        • Outpatient Clinics (Outpatient)
        CGH Lynn Blvd Medical Center, LTD
        DBA:  CGH Lynn Blvd Medical Center, LTD
        3010 Lynn Boulevard
        Sterling, IL  61081
          Services:
          • Outpatient Clinics (Outpatient)
          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)
              • Inpatient Unit (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 Medical Center/OP
              DBA:  CGH Medical Center/OP
              10 W. 3rd Street
              Sterling, IL  61081
                Services:
                • Anesthesia (Outpatient)
                • Outpatient Clinics (Outpatient)
                CGH Milledgeville Medical Center
                DBA:  CGH Milledgeville Medical Center
                505 East Old Mill Street
                Milledgeville, IL  61051
                  Services:
                  • Outpatient Clinics (Outpatient)
                  CGH Morrison Medical Center
                  DBA:  CGH Morrison Medical Center
                  105 S. Heaton Street
                  Morrison, IL  61270
                    Services:
                    • Outpatient Clinics (Outpatient)
                    CGH Polo Medical Center
                    DBA:  CGH Polo Medical Center
                    711 Division Street
                    Polo, IL  61064
                      Services:
                      • Outpatient Clinics (Outpatient)
                      CGH Prophetstown Medical Center
                      DBA:  CGH Prophetstown Medical Center
                      212 East Railroad Street
                      Prophetstown, IL  61277
                        Services:
                        • Outpatient Clinics (Outpatient)
                        CGH Rock Falls Medical Center
                        DBA:  CGH Rock Falls Medical Center
                        100 W. 1st Street
                        Rock Falls, IL  61071
                          Services:
                          • Outpatient Clinics (Outpatient)
                          CGH Tampico Medical Center
                          DBA:  CGH Tampico Medical Center
                          123 South Main Street
                          Tampico, IL  61283
                            Services:
                            • Outpatient Clinics (Outpatient)
                            CGH Walnut Medical Center
                            DBA:  CGH Walnut Medical Center
                            131 Jackson Street
                            Walnut, IL  61376
                              Services:
                              • Outpatient Clinics (Outpatient)
                              CGH Wound Healing Center
                              1809 N. Locust Street
                              Sterling, IL  61081
                                Services:
                                • Outpatient Clinics (Outpatient)
                                • Perform Invasive Procedure (Outpatient)

                                - Top -
                                The Joint Commission obtains information about accredited/certified organizations not only through direct observations by its employees …Read more.
                                Search | About Quality Check | Take Our Survey | Certified Organizations | Quality Data Download | Contact Us | Help | Privacy Policy
                                © 2015 The Joint Commission, All Rights Reserved

                                This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
                                verify here.