The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Evans Army Community Hospital
Org ID: 9365
1650 Cochrane Circle, BLDG 7500
Fort Carson, CO  80913-4604
(719)526-7923
www.evans.amedd.army.mil

Accreditation Decision: Accredited
Decision Effective Date: October 11, 2008
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Hospital 10/10/2008 10/10/2008  


Special Quality Awards


- Top -
  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
Hospital
2008 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
Children's Asthma Care See Detail
Not displayed.
3
Not displayed.
3
Pneumonia Care See Detail
This organization’s performance is below the target range/value.
This organization’s performance is below the target range/value.
Pregnancy Care See Detail
Not displayed.
2
Not displayed.
2
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
See Detail
This organization’s performance is below the target range/value.
This organization’s performance is similar to the target range/value.
  • Blood Vessel Surgery
See Detail
Not displayed.
3
Not displayed.
3
  • Colon/Large Intestine Surgery
See Detail
This organization’s performance is below the target range/value.
This organization’s performance is similar to the target range/value.
  • Coronary Artery Bypass Graft
See Detail
Not displayed.
3
Not displayed.
3
  • Hip Joint Replacement
See Detail
Not displayed.
3
Not displayed.
3
  • 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
Not displayed.
3
Not displayed.
3
  • Open Heart Surgery
See Detail
Not displayed.
3
Not displayed.
3
SCIP – Venous Thromboembolism (VTE) See Detail
   
 
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.

- Top -
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
DiRaimondo Family Medicine Clinic
Building 1041
Fort Carson, CO  80913
  • General Outpatient Services (Outpatient)
Evans Army Community Hospital  *
1650 Cochrane Circle bldg 7500
Fort Carson, CO  80913-4604
  • Addiction Care (Outpatient)
  • Alcohol & Drug Rehabilitation (Outpatient)
  • Allergy (Outpatient)
  • Audiology (Outpatient)
  • Behavioral Health (Non 24 Hour Care - Adult)
  • Chemical Dependency (Non 24 Hour Care - Adult)
  • CT Scanner (Inpatient, Outpatient)
  • Dermatology (Outpatient)
  • EEG/EKG/EMG Lab (Outpatient)
  • Emergency Room (Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Mental Health (Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Inpatient)
  • 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)
  • Pediatric Care (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Sleep Center (Outpatient)
  • Telemetry (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)
Evans Community Rehabilitation Services
1836 Provide Comfort Drive, Bldg 7488
Fort Carson, CO  80913
    Post Deployment Health Risk Assessment Building
    Bldg 1056 O'Connell Blvd
    Colorado Springs, CO  80913
    • General Outpatient Services (Outpatient)
    Preventive Medicine Clinic
    Building # 02059
    Fort Carson, CO  80913
    • General Outpatient Services (Outpatient)
    Robinson Family Medicine Clinic
    Building 7490
    Fort Carson, CO  80913
    • General Outpatient Services (Outpatient)
    United States Army Occupational Health Clinic
    Pueblo Chemical Depot
    Pueblo, CO  81001
    • General Outpatient Services (Outpatient)
    United States Army Occupational Health Clinic
    Tooele Army Depot Bldg # 400
    Tooele, UT  84074
    • General Outpatient Services (Outpatient)
    United States Army Occupational Health Clinic
    Dugway Proving Ground Bldg # 5116
    Dugway, UT  84022
    • General Outpatient Services (Outpatient)
    Warrior Family Medicine Clinic
    Building 2353
    Fort Carson, CO  80913
    • General Outpatient Services (Outpatient)
    Warrior Transition Unit Clinic
    Building 1056 O'Conneell Blvd
    Fort Carson, CO  80913
    • General Outpatient Services (Outpatient)
    WTU Case Manager Building; Building 1059
    1852 Irwin Drive
    Colorado Springs, CO  80913
    • General Outpatient Services (Outpatient)
    WTU Social Work Building; Building 1150
    5886 Barkeley Avenue
    Colorado Springs, CO  80913

      - Top -
      The Joint Commission obtains information about accredited/certified organizations not only through direct observations by its employees …Read more.
      Search | About Quality Check | Take Our Survey | Advanced Search | Certified Organizations | Quality Data Download | Contact Us | Help | Privacy Policy
      © 2010 The Joint Commission, All Rights Reserved
      HONcode We subscribe to the HONcode principles of the Health On the Net Foundation