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Quality Report

Summary of Accreditation Quality Information
Nebraska Methodist Hospital
Org ID: 8519
8303 Dodge Street
Omaha, NE  68114
(402)354-4000

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Home Care
Accredited 12/1/2007 11/30/2007 11/30/2007  
Hospital
Accredited 10/15/2008 11/30/2007 7/1/2009  



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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 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.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Home Care
2007 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
2009 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:
Jan  2009 -
Dec  2009
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
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
Pneumonia Care See Detail
This organization’s performance is below the target range/value.
This organization’s performance is below the target range/value.
Stroke 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
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Blood Vessel 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.
  • 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.
  • Coronary Artery Bypass Graft
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hip Joint Replacement
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Hysterectomy
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Knee Replacement
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Open Heart Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is above the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
Venous Thromboembolism (VTE) See Detail
Not displayed.
8
Not displayed.
8
  30 Day Risk Adjusted Mortality Rates (see details)
  30 Day Hospital Readmission Rates (see details)
  Survey of Patients' Hospital Experiences (see details)
 
Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
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
Diabetes Center
8601 Dodge , Suite 30
Omaha, NE  68114
  • General Outpatient Services (Outpatient)
Methodist HealthWest
16120 West Dodge Rd.
Omaha, NE  68114
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
Methodist Home Health
8601 West Dodge
Omaha, NE  68114
  • Durable Medical Equipment
  • Enteral Nutrition
  • Home Health, Non-Hospice Services
  • Home Medical Equipment, Non-Hospice
  • Hospice Care
  • Implanted Infusion Pumps and Supplies
  • Inpatient Symptom Relief
  • Insulin Infusion Pumps and Supplies
  • Parenteral Nutrition
  • Pharmacy/Dispensary,General Services
  • Supplies
Methodist Hospital Physicial Therapy
5908 S. 142nd Street
Omaha, NE  68137
  • General Outpatient Services (Outpatient)
Methodist Physical Therapy
3353 L Street
Omaha, NE  68107
  • General Outpatient Services (Outpatient)
Methodist Physical Therapy
101 E. Centennial Road
Papillion, NE  68046
  • General Outpatient Services (Outpatient)
Methodist Physical Therapy
15750 West Dodge Road, Suite 301
Omaha, NE  68118
  • General Outpatient Services (Outpatient)
Methodist Physicial Therapy
8901 W. Dodge Road
Omaha, NE  68114
  • General Outpatient Services (Outpatient)
Nebraska Methodist Hospital  *
8303 Dodge
Omaha, NE  68114
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Dialysis (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Medical Detoxification (Inpatient)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Occupational Health (Inpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Podiatry (Inpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Sleep Center (Outpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient, Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient, Outpatient)
Open MRI
515 N. 162nd Avenue
Omaha, NE  68118
  • General Outpatient Services (Outpatient)
Pain Management Clinic
515 N. 162nd Avenue
Omaha, NE  68118
  • General Outpatient Services (Outpatient)
Perinatology Services
717 North 190th Plaza
Elkhorn, NE  68022
  • Single Specialty Group Practice (Outpatient)
Renaissance Health Clinic
3612 Cumming Street
Omaha, NE  68131
  • General Outpatient Services (Outpatient)
Sleep Center
515 N 162nd Avenue
Omaha, NE  68118
  • General Outpatient Services (Outpatient)
Women's Hospital
707 N 190th Plaza
Elkhorn, NE  68022
  • Diabetes Mellitus (Inpatient)
  • Emergency Room (Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • High Risk Neonatal (Inpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Intensive Care Unit (Inpatient)
  • Labor & Delivery (Inpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Maternal Child (Inpatient, Outpatient)
  • Neonatal Intensive Care (Inpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Emergency Department (Outpatient - Child/Youth)
  • Pediatric Intensivists (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Plastic Surgery (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Women's Health (Inpatient, Outpatient)
Wound Clinic
515 N. 162nd Avenue Suite 301
Omaha, NE  68118
  • General Outpatient Services (Outpatient)

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