The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Waverly Health Center
Org ID: 8310
312 Ninth Street Southwest
Waverly, IA  50677
(319)352-4120
www.waverlyhealthcenter.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Critical Access Hospital
Accredited 9/19/2015 9/18/2015   11/2/2015  
Home Care
Accredited 9/26/2012 9/25/2012   9/25/2012  
Laboratory Accreditation Program
Accredited 10/4/2014 10/3/2014   10/3/2014  


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





Special Quality Awards


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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.
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.
*
National Quality Improvement Goals:    
Reporting Period:
Jul  2014 -
Jun  2015
Emergency Department See Detail
Not displayed.
2
Not displayed.
2
Immunization See Detail
Not displayed.
2
Not displayed.
2
Venous Thromboembolism (VTE) See Detail
This organization’s performance is below the target range/value.
This organization’s performance is below the target range/value.
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.
*
Laboratory Accreditation Program
2014 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 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
Janesville Clinic
202 Wildcat Way
Janesville, IA  50647
    Services:
    • Outpatient Clinics (Outpatient)
    Nashua Clinic
    80 Amherst Boulevard, Suite 400
    Nashua, IA  50658-9712
      Services:
      • General Laboratory Tests
      • Outpatient Clinics (Outpatient)
      Noah Campus Health Clinic
      100 Wartburg Blvd, Suite 1392
      Waverly, IA  50677
        Services:
        • General Laboratory Tests
        • Outpatient Clinics (Outpatient)
        Shell Rock Clinic
        1001 Mason Way
        Shell Rock, IA  50670
          Services:
          • General Laboratory Tests
          • Outpatient Clinics (Outpatient)
          Waverly Health Center  *
          312 Ninth Street Southwest
          Waverly, IA  50677
          Other Clinics/Practices located at this site:
          • Christophel Clinic-Suite 2300
          • Waverly Health Center Cardiology Clinic - Suite 3000
          • Waverly Health Center General Surgery-Suite 3000
          • Waverly Health Center Orthopedic Clinic-Suite 3000
          • Waverly Health Center Walk-In Clinic-Suite 2300
          • Waverly Health Center Women's Clinic-Suite 2200
          Services:
          • Acute Care
          • Blood Donor Center
          • Blood Glucose Monitors (non-mail order)
          • Canes and Crutches
          • Commodes
          • Contracture Treatment: Dynamic Splint
          • CT Scanner (Imaging/Diagnostic Services)
          • Custom Orthotics
          • Diabetic Footwear
          • Diabetic Shoes/Inserts-custom
          • Durable Medical Equipment
          • Ear/Nose/Throat Surgery (Surgical Services)
          • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
          • Enteral Nutrients
          • Gastroenterology (Surgical Services)
          • General Laboratory Tests
          • Gynecological Surgery (Surgical Services)
          • Heat/Cold Applications
          • Labor & Delivery (Inpatient)
          • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
          • Mammography (Imaging/Diagnostic Services)
          • Medical /Surgical Unit (Inpatient)
          • Nebulizers
          • Normal Newborn Nursery (Inpatient)
          • Nuclear Medicine (Imaging/Diagnostic Services)
          • Off The Shelf Orthotics
          • Ophthalmology (Surgical Services)
          • Orthopedic Surgery (Surgical Services)
          • Orthotics - Non-Customized
          • Ostomy Supplies
          • Outpatient Clinics (Outpatient)
          • Penile Pumps
          • Physical Medicine and Rehabilitation
          • Prosthetics (Home Medical Equipment)
          • Respiratory Assist Devices
          • Respiratory Equipment
          • Seat Lift Mechanisms
          • Supplies
          • Support Surfaces - For Beds
          • Surgical Dressings
          • Swing Beds
          • Toxicology
          • Traction Equipment
          • Ultaviolet Light Devices
          • Ultrasound (Imaging/Diagnostic Services)
          • Urological Supplies
          • Vascular Surgery (Surgical Services)
          • Walkers, Canes and Crutches
          • Wheelchair Seating / Cushions
          • Wheelchairs - Manual Custom
          • Wheelchairs - Manual Non-Custom
          • Wheelchairs-Complex Rehabilitiative Manual Accessories
          • Wheelchairs-Standard Manual Accessories

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