Quality Report


Quality Report

TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST
HCO ID: 134080
380 Summit Avenue
Steubenville, OH, 43952
(740) 264-8360
www.trinityhealth.com
Summary of Quality Information

Accreditation Programs

Gold Seal
Behavioral Health Care
Accreditation Decision
Effective Date
11/14/2017
Last Full Survey Date
8/30/2017
Last On-Site Survey Date
8/30/2017
Gold Seal
Home Care
Accreditation Decision
Effective Date
8/31/2017
Last Full Survey Date
8/30/2017
Last On-Site Survey Date
8/30/2017
Gold Seal
Hospital
Accreditation Decision
Effective Date
11/17/2017
Last Full Survey Date
9/1/2017
Last On-Site Survey Date
8/22/2018
Gold Seal
Nursing Care Center
Accreditation Decision
Effective Date
8/31/2017
Last Full Survey Date
8/30/2017
Last On-Site Survey Date
8/30/2017

Core Certification Programs

Gold Seal
Certification Decision
Effective Date
11/14/2017
Last Full Survey Date
8/30/2017
Last On-Site Survey Date
8/30/2017

Sites

Chase Building
401 Market St.
Steubenville, OH, 43952

Available Services

  • Outpatient Clinics (Outpatient )

Express Clinic Calcutta
DBA: An outpatient department of Trinity Health System
St. Route 170 Calcutta Square Calcutta OH. Suite B
East Liverpool, OH, 43920

Available Services

  • Outpatient Clinics (Outpatient )

Express Clinic Toronto
DBA: An outpatient department of Trinity Health System
1800 Franklin St.
Toronto, OH, 43964

Available Services

  • Outpatient Clinics (Outpatient )

Medical Pavilion 4100 Johnson Road
4100 Johnson Road, Suite 102, 207,104, 101,208
Steubenville, OH, 43952

Available Services

  • Outpatient Clinics (Outpatient )

Outpatient Physical Therapy
DBA: An outpatient department of Trinity Health System
1800 Franklin St.
Toronto, OH, 43964

Available Services

  • Outpatient Clinics (Outpatient )

Teramana Cancer Center
3204 Johnson Road
Steubenville, OH, 43952

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Trinity ExpressCare
148 Main St.
Wintersville, OH, 43953

Available Services

  • Urgent Care (Outpatient )

Trinity Health System Cadiz
82424 Cadiz Jewitt Road
Cadiz, OH, 43907

Available Services

  • Outpatient Clinics (Outpatient )

Trinity Medical Center East
380 Summit Avenue
Steubenville, OH, 43952

Available Services

  • Addiction Care
  • Addiction Care
  • Addiction Care (Non-detox - Adult )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (Residential Care - Adult )
  • Behavioral Health (Partial - Adult )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Day Programs - Child/Youth )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Adult )
  • Chemical Dependency (Partial - Adult )
  • Chemical Dependency (Partial - Child/Youth )
  • Chemical Dependency (Non-detox - Adult )
  • Family Support (Non 24 Hour Care )
  • Home Health Aides
  • Home Health, Non-Hospice Services
  • Inpatient Unit (Inpatient )
  • Occupational Therapy
  • Outpatient Clinics (Outpatient )
  • Personal Care/Support Non-Hospice
  • Physical Therapy
  • Rehabilitation Services
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Skilled Nursing Care
  • Skilled Nursing Services
  • Speech Language Pathology

Certification Programs

  • Post-Acute Care - Nursing Care Center

Trinity Medical Center West
4000 Johnson Road
Steubenville, OH, 43952

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • Coronary Care Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Trinity Outpatient Endoscopy Center
1805 Sinclair Avenue
Steubenville, OH, 43952

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Trinity Sports Medicine
3151 Johnson Rd. Suite 2
Steubenville, OH, 43952

Available Services

  • Outpatient Clinics (Outpatient )

Trinity WorkCare
380 Summit Ave. Suite G105
Steubenville, OH, 43952

Available Services

  • Outpatient Clinics (Outpatient )

Cooperative Agreements

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  11. There were no eligible patients that met the denominator criteria.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  11. There were no eligible patients that met the denominator criteria.

The Joint Commission only reports measures endorsed by the National Quality Forum.
* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Nursing Care Center 2014 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2014 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2018 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: October 2017 - September 2018
Emergency Department National Comparison: nd 2 Statewide Comparison: nd 2
Hospital-Based Inpatient Psychiatric Services National Comparison: nd 2 Statewide Comparison: nd 2
Immunization National Comparison: nd 2 Statewide Comparison: nd 2
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

The Joint Commission only reports measures endorsed by the National Quality Forum.
* State results are not calculated for the National Patient Safety Goals.