The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Holy Family Memorial Inc.
Org ID: 7658
2300 Western Avenue
Manitowoc, WI  54220
(920)320-2011
www.hfmhealth.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Home Care
Accredited 5/4/2013 5/3/2013   5/3/2013  
Hospital
Accredited 5/3/2013 5/2/2013   6/14/2013  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
HFM Family Health Shoppe and Pharmacy
3310 Calumet Avenue, Manitowoc, WI. 54220
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:
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
Not displayed.
3
Not displayed.
3
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
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.
  • 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
HFM Family Health Shoppe and Pharmacy
3310 Calumet Avenue
Manitowoc, WI  54220
    Services:
    • Blood Glucose Monitors (non-mail order)
    • Breast Prosthesis
    • Canes and Crutches
    • Clinical Respiratory
    • Commodes
    • Continuous Positive Airway Pressure
    • Contracture Treatment: Dynamic Splint
    • Custom Orthotics
    • Diabetic Shoes/Inserts-custom
    • Durable Medical Equipment
    • Enteral Equipment and/or Supplies
    • Enteral Nutrients
    • Gastric Suction Pumps
    • Hospice Care
    • Hospital Beds - Electric
    • Insulin Infusion Pumps and Supplies
    • Nebulizers
    • Off The Shelf Orthotics
    • Orthotics - Non-Customized
    • Ostomy Supplies
    • Oxygen
    • Patient Lifts and Accessories
    • Penile Pumps
    • Pharmacy, Clinical Consulting Services
    • Pharmacy, Long Term Care
    • Pharmacy/Dispensary,General Services
    • Pneumatic Compression Devices
    • Power Operated Vehicles (or scooters)
    • Power Wheelchairs
    • Prosthetics (Home Medical Equipment)
    • Respiratory Equipment
    • Seat Lift Mechanisms
    • Suction Pump
    • Supplies
    • Support Surfaces - For Beds
    • Surgical Dressings
    • Tracheostomy Supplies
    • Traction Equipment
    • Urological Supplies
    • Walkers, Canes and Crutches
    • Wheelchair Seating / Cushions
    • Wheelchairs - Manual Non-Custom
    • Wheelchairs-Standard Manual Accessories
    • Wheelchairs-Standard Power Accessories
    Holy Family Memorial HomeCare and Hospice
    2300 Western Ave
    Manitowoc, WI  54220
      Services:
      • Home Health, Non-Hospice Services
      • Hospice Care
      • Medical Social Services
      • Physical Therapy
      • Skilled Nursing Services
      Holy Family Memorial, Inc
      3310 45th Street
      Two Rivers, WI  54241
        Services:
        • Single Specialty Practitioner (Outpatient)
        Holy Family Memorial, Inc
        4303 Michigan Ave
        Manitowoc, WI  54220
          Services:
          • Outpatient Clinics (Outpatient)
          Holy Family Memorial, Inc
          339 Reed Avenue
          Manitowoc, WI  54220
            Services:
            • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
            • Chemical Dependency (Non 24 Hour Care - Adult/Child/Youth)
            • Family Support (Non 24 Hour Care)
            Holy Family Memorial, Inc
            600 York Street
            Manitowoc, WI  54220
              Services:
              • Single Specialty Practitioner (Outpatient)
              Holy Family Memorial, Inc
              1900 Woodland
              Manitowoc, WI  54220
                Services:
                • Administration of High Risk Medications (Outpatient)
                • Anesthesia (Outpatient)
                • Outpatient Clinics (Outpatient)
                • Perform Invasive Procedure (Outpatient)
                Holy Family Memorial, Inc.
                1235 S 24 St.
                Manitowoc, WI  54220
                  Services:
                  • Single Specialty Practitioner (Outpatient)
                  Holy Family Memorial, Inc.
                  2021 S Alverno Rd
                  Manitowoc, WI  54220
                    Services:
                    • Single Specialty Practitioner (Outpatient)
                    Holy Family Memorial, Inc.
                    1635 S 23 St.
                    Manitowoc, WI  54220
                      Services:
                      • Single Specialty Practitioner (Outpatient)
                      Holy Family Memorial, Inc.  *
                      2300 Western Avenue
                      Manitowoc, WI  54221-1450
                        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)
                        • Interventional Radiology (Imaging/Diagnostic Services)
                        • 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)
                        • 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)
                        • Teleradiology (Imaging/Diagnostic Services)
                        • Thoracic Surgery (Surgical Services)
                        • Ultrasound (Imaging/Diagnostic Services)
                        • Urology (Surgical Services)
                        • Vascular Surgery (Surgical Services)
                        Holy Family Memorial, Inc.
                        1818 Memorial Drive
                        Manitowoc, WI  54220
                          Services:
                          • Outpatient Clinics (Outpatient)
                          Holy Family Memorial, Inc.
                          1400 Washington St.
                          Two Rivers, WI  54241
                            Services:
                            • Outpatient Clinics (Outpatient)
                            Holy Family Memorial, Inc.
                            1650 S 41 St
                            Manitowoc, WI  54220
                              Services:
                              • Outpatient Clinics (Outpatient)

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