The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Chattanooga Hamilton County Hospital Authority
DBA: Erlanger Health System
Org ID: 7809
975 East Third Street
Chattanooga, TN  37403
(423)778-7000
www.erlanger.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Critical Access Hospital
Accredited 4/2/2014 4/1/2014   3/25/2015  
Hospital
Accredited 4/5/2014 4/4/2014   3/26/2015  


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


Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Advanced Comprehensive Stroke Center
Certification 3/12/2014  12/11/2015  12/11/2015 



Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Acute Myocardial Infarction
Certification 1/9/2016  1/8/2016  1/8/2016 



Other Accredited Programs / Services
Hospital  -  Accredited by UHMS Clinical Hyperbaric Facility - Level 2


- 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
Critical Access Hospital
2015 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
2015 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  2014 -
Jun  2015
Children's Asthma Care See Detail
Not displayed.
2
Not displayed.
2
Emergency Department See Detail
Not displayed.
2
Not displayed.
2
Immunization See Detail
Not displayed.
2
Not displayed.
2
Perinatal Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
Stroke Care See Detail
Not displayed.
8
Not displayed.
8
 
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
Chattanooga Hamilton County Hospital Authority
DBA:  Erlanger South Family Practice
60 Erlanger South Dr. Suite A
Ringgold, GA  30736
    Services:
    • Outpatient Clinics (Outpatient)
    Chattanooga Hamilton County Hospital Authority
    DBA:  Erlanger Bledsoe Internal & Pediatric Medicine
    136 Wheelertown Avenue
    Pikeville, TN  37367
      Services:
      • Outpatient Clinics (Outpatient)
      Chattanooga Hamilton County Hospital Authority
      DBA:  Dalton Pediatrics
      1504 N. Thorton Avenue, Dalton, GA 30761
      Dalton, GA  30720
        Services:
        • Outpatient Clinics (Outpatient)
        Chattanooga Hamilton County Hospital Authority
        DBA:  Academic Endocrinology
        979 East Third Street, Suite B-601
        Chattanooga, TN  37403
        Other Clinics/Practices located at this site:
        • Academic Gastroenterology, Suite C-825
        • Academic Internal Medicine, Suite B-601
        • Academic Urologist at Erlanger, Suite C-535
        • Erlanger Hypertension Management Center, Suite B-601
        • Erlanger Neurology Group(Erlanger Southeast Regional Stroke
        • Erlanger Neurology Group, Suite 1202
        • Erlanger Surgical Weight Loss, Suite C-620
        • Kidney Transplant Outpatient Clinic, Suite 1002
        • Southern Orthopaedic Trauma Surgeons, Suite C-450
        • University Orthopedics, Suite C-220
        • University Rheumatology, Suite B-805
        • UT Erlanger Cardiology Suite 101
        • UT Erlanger Dermatology, Suite 425 A
        • UT Erlanger Ortho South, Suite C-430
        • UT Erlanger Respiratory Critical Care Sutie C-735
        • UT Erlanger Sports Medicine & Ortho Suite B-202
        • Womens Health Specialist, Suite C-725
        Services:
        • Outpatient Clinics (Outpatient)
        • Perform Invasive Procedure (Outpatient)
        Chattanooga Hamilton County Hospital Authority
        DBA:  Childrens Cardiology
        910 Blackford Street - 3rd Fl Massoud
        Chattanooga, TN  37403
        Other Clinics/Practices located at this site:
        • Children's Endocrine, 1st floor Massoud Bldg
        • Children's Gastroenterology, 3rd Floor Massoud Bldg
        • Children's Genetics, 3rd Floor Massoud Bldg
        • Children's Hematology/Oncology, 5th Floor Massoud Bldg
        • Children's Infectious Disease, 5th Floor Massoud Bldg
        • Children's Nephrology, Ground Level
        • Children's Neurology, Ground Level
        • Children's Orthopedic, Ground Level
        • Children's Pulmonology, Ground Level
        • Children's Urgent Care Center, Ground Level
        • University Pediatrics, Ground Level
        Services:
        • Administration of Blood Product (Outpatient)
        • Administration of High Risk Medications (Outpatient)
        • Perform Invasive Procedure (Outpatient)
        • Urgent Care (Outpatient)
        Chattanooga Hamilton County Hospital Authority
        DBA:  UT Erlanger Primary Care
        1200 Pineville Road
        Chattanooga, TN  37405
          Services:
          • Outpatient Clinics (Outpatient)
          Chattanooga Hamilton County Hospital Authority
          DBA:  UT Erlanger Lookout Mtn Primary Care
          101 McFarland Road
          Lookout Mountain, GA  30750
            Services:
            • Outpatient Clinics (Outpatient)
            Chattanooga Hamilton County Hospital Authority
            DBA:  UT Erlanger Cardiology East
            1614 Gunbarrel Road, Ste 101
            Chattanooga, TN  37421
              Services:
              • Outpatient Clinics (Outpatient)
              Chattanooga Hamilton County Hospital Authority
              DBA:  Urology East
              1755 Gunbarrel Road, Suite 209
              Chattanooga, TN  37421
                Services:
                • Single Specialty Practitioner (Outpatient)
                Chattanooga Hamilton County Hospital Authority
                DBA:  Erlanger at Volkswagen Drive
                7380 Volkswagon Drive, Suite 100
                Chattanooga, TN  37416
                  Services:
                  • Single Specialty Practitioner (Outpatient)
                  Chattanooga Hamilton County Hospital Authority
                  DBA:  UT Erlanger Health & Wellness@Signal Mtn
                  2600 Taft Highway
                  Signal Mountain, TN  37377
                    Services:
                    • Outpatient Clinics (Outpatient)
                    Chattanooga Hamilton County Hospital Authority
                    DBA:  Erlanger Sequatchie Valley Emergency Department
                    16931 Rankin Avenue
                    Dunlap, TN  37327-7029
                    Other Clinics/Practices located at this site:
                    • UT Erlanger Sequatchie Primary Care
                    Services:
                    • Administration of Blood Product (Outpatient)
                    • Administration of High Risk Medications (Outpatient)
                    • Emergency Care (Outpatient)
                    Chattanooga Hamilton County Hospital Authority
                    DBA:  UT Erlanger Hixson Primary Care
                    1025 Executie Drive Suite 100
                    Hixson, TN  37343
                      Services:
                      • Single Specialty Practitioner (Outpatient)
                      Chattanooga Hamilton County Hospital Authority
                      DBA:  UT Erlanger E Brainerd Internal Medicine
                      1720 Gunbarrel Rd Suite 110
                      Chattanooga, TN  37421
                        Services:
                        • Single Specialty Practitioner (Outpatient)
                        Chattanooga Hamilton County Hospital Authority
                        DBA:  Urology at Spring Creek
                        961 Spring Creek Road, Suite 202
                        Chattanooga, TN  37411
                          Services:
                          • Anesthesia (Outpatient)
                          • Perform Invasive Procedure (Outpatient)
                          • Single Specialty Practitioner (Outpatient)
                          Chattanooga Hamilton County Hospital Authority
                          DBA:  Erlanger East Imaging Center
                          1651 Gunbarrel Road
                          Chattanooga, TN  37421
                            Services:
                            • Outpatient Clinics (Outpatient)
                            Chattanooga Hamilton County Hospital Authority
                            DBA:  UT Erlanger Neurosurgerical Group
                            1010 East Third Street
                            Chattanooga, TN  37403
                              Services:
                              • Single Specialty Practitioner (Outpatient)
                              Chattanooga Hamilton County Hospital Authority  *
                              DBA:  Erlanger Health System
                              975 East Third Street
                              Chattanooga, TN  37403
                              Joint Commission Advanced Certification Programs:
                              • Advanced Comprehensive Stroke Center
                              Joint Commission Certified Programs:
                              • Acute Myocardial Infarction
                              Other Clinics/Practices located at this site:
                              • Chattanooga Hamilton County Hospital Authority DBA Erlanger
                              Services:
                              • Cardiac Catheterization Lab (Surgical Services)
                              • Cardiac Surgery (Surgical Services)
                              • Cardiothoracic Surgery (Surgical Services)
                              • Cardiovascular Unit (Inpatient)
                              • Coronary Care 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)
                              • Inpatient Unit (Inpatient)
                              • Interventional Radiology (Imaging/Diagnostic Services)
                              • Labor & Delivery (Inpatient)
                              • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
                              • Mammography (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)
                              • 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)
                              • Surgical ICU (Intensive Care Unit)
                              • Surgical Unit (Inpatient)
                              • Thoracic Surgery (Surgical Services)
                              • Transplant Surgery (Surgical Services)
                              • Trauma Center (Trauma Center)
                              • Ultrasound (Imaging/Diagnostic Services)
                              • Urology (Surgical Services)
                              • Vascular Surgery (Surgical Services)
                              Chattanooga Hamilton County Hospital Authority
                              DBA:  UT Family Practice
                              1100 East Third Street
                              Chattanooga, TN  37403
                              Other Clinics/Practices located at this site:
                              • Workforce UT Family Practice
                              Services:
                              • Outpatient Clinics (Outpatient)
                              Chattanooga Hamilton County Hospital Authority
                              DBA:  Erlanger Health System - East Campus
                              1751 Gunbarrel Road
                              Chattanooga, TN  37421
                              Other Clinics/Practices located at this site:
                              • Center for Breast Health Suite G10
                              • Erlanger East Infusion Center
                              • UT Erlanger Primary Care - East Suite 201
                              Services:
                              • CT Scanner (Imaging/Diagnostic Services)
                              • Ear/Nose/Throat Surgery (Surgical Services)
                              • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
                              • Gynecological Surgery (Surgical Services)
                              • Gynecology (Inpatient)
                              • Inpatient Unit (Inpatient)
                              • Labor & Delivery (Inpatient)
                              • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
                              • Mammography (Imaging/Diagnostic Services)
                              • Medical /Surgical Unit (Inpatient)
                              • Nuclear Medicine (Imaging/Diagnostic Services)
                              • Orthopedic Surgery (Surgical Services)
                              • Outpatient Clinics (Outpatient)
                              • Plastic Surgery (Surgical Services)
                              • Ultrasound (Imaging/Diagnostic Services)
                              • Urology (Surgical Services)
                              Chattanooga Hamilton County Hospital Authority
                              DBA:  Erlanger Health System - North Campus
                              632 Morrison Springs Road
                              Chattanooga, TN  37415
                              Other Clinics/Practices located at this site:
                              • Erlanger North Family Practice
                              • Erlanger Sleep Medicine & Neurology Suite 300
                              • NeuroBehavior & Memory Services Suite 103
                              • UT Institute for Sports & Health Suite 202
                              Services:
                              • CT Scanner (Imaging/Diagnostic Services)
                              • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
                              • Inpatient Unit (Inpatient)
                              • Mammography (Imaging/Diagnostic Services)
                              • Medical /Surgical Unit (Inpatient)
                              • Nuclear Medicine (Imaging/Diagnostic Services)
                              • Outpatient Clinics (Outpatient)
                              • Sleep Laboratory (Sleep Laboratory)
                              • Ultrasound (Imaging/Diagnostic Services)
                              Chattanooga Hamilton County Hospital Authority
                              DBA:  Life Style Center - Cardiac Rehab
                              325 Market Street
                              Chattanooga, TN  37401
                                Services:
                                • Outpatient Clinics (Outpatient)
                                Chattanooga Hamilton County Hospital Authority
                                DBA:  University Medical Assoc
                                960 East Third Street, Whitehall Building, Suite 208
                                Chattanooga, TN  37403
                                  Services:
                                  • Outpatient Clinics (Outpatient)
                                  Chattanooga Hamilton County Hospital Authority
                                  DBA:  Erlanger Health System - Southside Community Health Center
                                  100 East 37th Street
                                  Chattanooga, TN  37410
                                    Services:
                                    • Outpatient Clinics (Outpatient)
                                    Dodson Avenue Community Health Center
                                    1200 Dodson Avenue
                                    Chattanooga, TN  37406
                                      Services:
                                      • Outpatient Clinics (Outpatient)
                                      Erlanger Bledsoe Hospital
                                      71 Wheelertown Avenue
                                      Pikeville, TN  37367
                                        Services:
                                        • Acute Care
                                        • CT Scanner (Imaging/Diagnostic Services)
                                        • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
                                        • Medical /Surgical Unit (Inpatient)
                                        • Outpatient Clinics (Outpatient)
                                        • Swing Beds
                                        • Ultrasound (Imaging/Diagnostic Services)

                                        - 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
                                        © 2016 The Joint Commission, All Rights Reserved