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Quality Report
Summary of Accreditation Quality Information |
 Phelps Memorial Health Center
Org ID: 8496 1215 Tibbals Street Holdrege, NE 68949-1255(308)995-2211 www.phelpsmemorial.com
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Accreditation
Programs |
Accreditation
Decision |
Effective
Date |
Last Full Survey Date |
Last On-Site Survey Date
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Conditional Accreditation
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10/23/2008 |
10/22/2008 |
9/9/2009
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| The following standard(s) were found to be out of compliance: |
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- Qualified staff receive and record verbal orders.
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Accredited
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10/23/2008 |
10/22/2008 |
10/22/2008
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Accredited
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6/12/2008 |
5/28/2010 |
5/28/2010
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Symbol Key |
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This organization
achieved the best possible results |
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This organization’s performance is above the target range/value. |
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This organization’s performance is similar to the target range/value. |
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This organization’s performance is below the target range/value. |
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This measure is not applicable for this organization.
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Not displayed |
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Footnote Key |
| 1. |
The measure or measure set was not reported. |
| 2. |
The measure set does not have
an overall result. |
| 3. |
The number of patients 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. |
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| National Patient Safety Goals and National Quality Improvement Goals |
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* Primary LocationAn organization may provide services not listed here. For more information refer to the
Quality Report User Guide
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| Locations of Care |
Available Services |
Phelps Memorial Health Center *
1215 Tibbals Street
Holdrege, NE 68949-1255
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- Acute Care
- Cardiac Unit/Cardiology (Inpatient)
- Continuous Positive Airway Pressure
- CT Scanner (Inpatient, Outpatient)
- Durable Medical Equipment
- EEG/EKG/EMG Lab (Inpatient, Outpatient)
- Emergency Room (Outpatient)
- Family Practice (Inpatient, Outpatient)
- General Laboratory Tests
- General Medical Services (Inpatient, Outpatient)
- General Surgery (Inpatient, Outpatient)
- GI or Endoscopy Lab (Inpatient, Outpatient)
- Hematology/Blood Treatment (Inpatient, Outpatient)
- Home Health, Non-Hospice Services
- Home Medical Equipment, Non-Hospice
- Imaging/Radiology (Inpatient, Outpatient)
- Infectious Diseases (Inpatient, Outpatient)
- Infusion Therapy (Inpatient, Outpatient)
- Intensive Care Unit (Inpatient)
- Internal Medicine (Inpatient, Outpatient)
- Labor & Delivery (Inpatient)
- Magnetic Resonance Imaging (Inpatient, Outpatient)
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- Nebulizers
- Nuclear Medicine (Inpatient, Outpatient)
- Nursery (Inpatient)
- Obstetrics (Inpatient)
- Operating Room (Inpatient, Outpatient)
- Outpatient Surgery (Outpatient)
- Oxygen
- Pediatric Care (Inpatient, Outpatient)
- Personal Care/Support Non-Hospice
- Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
- Pulmonary Function Lab (Inpatient, Outpatient)
- Rehabilitation and Physical Medicine (Inpatient, Outpatient)
- Respiratory Care (Ventilator) (Inpatient)
- Respiratory Equipment
- Sleep Center (Outpatient)
- Telemetry (Inpatient)
- Toxicology
- Ultaviolet Light Devices
- Ultrasound (Inpatient, Outpatient)
- Urology (Inpatient, Outpatient)
- Wound Care (Inpatient, Outpatient)
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Phelps Memorial Health Center - Physical Therapy Dept.
516 West 14th Street Suite 200
Holdrege, NE 68949
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- General Outpatient Services (Outpatient)
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Phelps Memorial Health Center -Cardiac Rehabilitation
1315 Tibbals St.
Holdrege, NE 68949
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- General Outpatient Services (Outpatient)
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