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Quality Report

Summary of Quality Information
Billings Clinic
Org ID: 9284
2800 10th Avenue North
Billings, MT  59107
(406)657-4000
www.billingsclinic.org

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Behavioral Health Care
Accredited 6/23/2009 6/22/2009 6/22/2009  
Home Care
Accredited 6/24/2009 6/23/2009 6/23/2009  
Hospital
Accredited 6/27/2009 6/26/2009 6/26/2009  
Pathology and Clinical Laboratory
Accredited 5/22/2009 5/21/2009 5/21/2009  

Advanced Certification
Programs		 Certification
Decision		 Effective
Date		 Last Full
Review Date		 Last On-Site
Review Date
Primary Stroke Center
Certification 4/23/2009  4/22/2009  4/22/2009 


Certified
Programs		 Certification
Decision		 Effective
Date		 Last Full
Review Date		 Last On-Site
Review Date
Joint Replacement - Hip
Certification 4/24/2009  4/23/2009  4/23/2009 
Joint Replacement - Knee
Certification 4/24/2009  4/23/2009  4/23/2009 


Other Accredited Programs / Services
Hospital  -  Accredited by American College of Surgeons/Commission on Cancer


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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
Behavioral Health Care
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.
*
Home Care
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.
*
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:
Jul  2008 -
Jun  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 similar to the target range/value.
This organization’s performance is similar to the target range/value.
Pneumonia Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above 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 similar to the target range/value.
  • Hip Joint Replacement
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above 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 above the target range/value.
This organization’s performance is above the target range/value.
  • Open Heart Surgery
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
  30 Day Risk Adjusted Mortality Rates (see details)
  30 Day Hospital Readmission Rates (see details)
  Survey of Patients' Hospital Experiences (see details)
Pathology and Clinical Laboratory
2010 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.
*
 
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
Billings Clinic  *
2800 10th Avenue North
Billings, MT  59101
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
Joint Commission Certified Programs:
  • Joint Replacement - Hip
  • Joint Replacement - Knee
Services:
  • Allergy (Outpatient)
  • Audiology (Outpatient)
  • Behavioral Health (Day Programs - Child/Youth)
    (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient, Outpatient)
  • Cardiac Unit/Cardiology (Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Outpatient)
  • Dermatology (Outpatient)
  • Dialysis (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Electroconvulsive Therapy (Inpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Laboratory Tests
  • General Medical Services (Inpatient, Outpatient)
  • 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 Services (Inpatient, Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Outpatient)
  • Magnetic Resonance Imaging (Outpatient)
  • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Neonatal Intensive Care (Inpatient)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Inpatient, Outpatient)
  • 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 (Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Plastic Surgery (Outpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Sleep Center (Outpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Toxicology
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)
Billings Clinic Home Oxygen
801 North 27th Street
Billings, MT  59101
  • Commodes
  • Continuous Positive Airway Pressure
  • Durable Medical Equipment
  • Enteral Nutrition
  • Heat/Cold Applications
  • Home Medical Equipment
  • Hospital Beds - Electric
  • Intermittent Positive Pressure Breathing
  • Intrapulmonary Percussive Ventilation
  • Invasive Mechanical Ventilation
  • Mechanical In-Exsufflation Devices
  • Nebulizers
  • Off The Shelf Orthotics
  • Orthotics - Custom Fabricated
  • Orthotics - Non-Customized
  • Ostomy Supplies
  • Oxygen
  • Patient Lifts and Accessories
  • Pneumatic Compression Devices
  • Prosthetics
  • Respiratory Assist Devices
  • Respiratory Equipment
  • Respiratory Services
  • Seat Lift Mechanisms
  • Speech Generating Device
  • Suction Pump
  • Supplies
  • Support Surfaces - For Beds
  • Surgical Dressings
  • Tracheostomy Care Supplies
  • Tracheostomy Supplies
  • Traction Equipment
  • Ultaviolet Light Devices
  • Urological Supplies
  • Ventilators Accessories/Supplies
  • Walkers, Canes and Crutches
  • Wheelchair Related Accessories
  • Wheelchair Seating / Cushions
  • Wheelchairs - Manual
Billings Clinic Sheridan Dialysis
1404 West 5th Street
Sheridan, WY  82801
  • General Outpatient Services (Outpatient)
Billings Clinic Surgery Center
2929 10th Avenue North
Billings, MT  59107
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
Billings Clinic- Sports Medicine Center
2702 8th Ave. North
Billings, MT  59107
  • General Outpatient Services (Outpatient)
Billings Clinic-Behavioral Health Clinic
1020 N. 27th Street
Billings, MT  59101
  • Single Specialty Group Practice (Outpatient)
Billings Clinic-Bozeman OB/GYN
925 Highland Blvd. Suite 1210 & 1220
Bozeman, MT  59715
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
Billings Clinic-Cardiovascular Services
1020 North 27th Street
Billings, MT  59101
  • General Outpatient Services (Outpatient)
Billings Clinic-Columbus
4th Avenue & A Street
Columbus, MT  59019
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Billings Clinic-Heights Branch
760 Wicks Lane
Billings, MT  59105
  • General Outpatient Services (Outpatient)
Billings Clinic-Miles City Health Care Clinic
620 S. Haynes Avenue
Miles City, MT  59301
  • Anesthesia (Outpatient)
  • Multi Specialty Group Practice (Outpatient)
Billings Clinic-Red Lodge
10 South Oakes
Red Lodge, MT  59068
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Billings Clinic-West End Branch
2675 Central Avenue Lamplighter Square
Billings, MT  59101
  • Multi Specialty Group Practice (Outpatient)
Billings MRI Center
1041 N. 29th Street
Billings, MT  59101
  • Anesthesia (Outpatient)
  • General Outpatient Services (Outpatient)
Bozeman Dialysis Center
931 Highland Blvd. Suite 3105
Bozeman, MT  59715
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Cody Family Practice
225 W. Yellowstone
Cody, WY  82414
  • General Outpatient Services (Outpatient)

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