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 9/27/2012 9/26/2012   9/26/2012  
Home Care
Accredited 9/26/2012 9/25/2012   9/25/2012  
Laboratory Accreditation Program
Accredited 10/4/2012 10/3/2012   10/3/2012  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Pathology and Clinical Laboratory
Critical Access Hospital
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Waverly Health Center
312 Ninth Street Southwest, Waverly, IA. 50677





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.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Critical Access Hospital
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.
*
National Quality Improvement Goals:    
Reporting Period:
Oct  2012 -
Sep  2013
Emergency Department See Detail
Not displayed.
2
Not displayed.
2
Heart Attack Care See Detail
Not displayed.
8
Not displayed.
8
Heart Failure Care See Detail
Not displayed.
8
Not displayed.
8
Immunization See Detail
Not displayed.
8
Not displayed.
8
Pneumonia Care See Detail
Not displayed.
8
Not displayed.
8
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
See Detail
Not displayed.
8
Not displayed.
8
  • Blood Vessel Surgery
See Detail
Not displayed.
8
Not displayed.
8
  • Colon/Large Intestine Surgery
See Detail
Not displayed.
8
Not displayed.
8
  • Hip Joint Replacement
See Detail
Not displayed.
8
Not displayed.
8
  • Hysterectomy
See Detail
Not displayed.
8
Not displayed.
8
  • Knee Replacement
See Detail
Not displayed.
8
Not displayed.
8
SCIP – Venous Thromboembolism (VTE) See Detail
   
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
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.
*
 
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
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 General Surgery-Suite 3000
        • Waverly Health Center Orthopedic Clinic-Suite 3000
        • Waverly Health Center Walk-In Clinic-Suite 3000
        • Waverly Health Center Women's Clinic-Suite 2200
        Services:
        • Acute Care
        • Blood Glucose Monitors (non-mail order)
        • Canes and Crutches
        • Commodes
        • Continuous Positive Airway Pressure
        • 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 Equipment and/or Supplies
        • 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)
        • 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 Equipment
        • Seat Lift Mechanisms
        • Supplies
        • Support Surfaces - For Beds
        • Surgical Dressings
        • Swing Beds
        • Tens Units
        • Toxicology
        • Traction Equipment
        • Ultaviolet Light Devices
        • Ultrasound (Imaging/Diagnostic Services)
        • Urological Supplies
        • 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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