Quality Report


Quality Report

Millwood Hospital LP
HCO ID: 1817
1011 North Cooper Street
Arlington, TX, 76011
(817) 261-3121
www.millwoodhospital.com
Summary of Quality Information

Accreditation Programs

Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
10/24/2019
Last Full Survey Date
10/23/2019
Last On-Site Survey Date
10/23/2019
Gold Seal
Hospital
Accreditation Decision
Effective Date
10/26/2019
Last Full Survey Date
10/25/2019
Last On-Site Survey Date
10/25/2019

Sites

Excel Center of Arlington
1105 N. Cooper Street, Arlington, TX
Arlington, TX, 76011

Available Services

  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Excel Center of Lewisville
401 N. Valley Parkway, Suite 100 and 200
Lewisville, TX, 75067

Available Services

  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )

Millood Hopsital, LP
DBA: Millwood Hospital/ The Excel Center of Willow Park

Willow Park, TX, 76087

Available Services

  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Peer Support (Non 24 Hour Care )

Millwood Hospital
DBA: Millwood Hospital
1011 North Cooper Street
Arlington, TX, 76011

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Adult )
  • Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Chemical Dependency (Detox - Adult )
  • Community Integration (Non 24 Hour Care )

The Excel Center of Arlington
1111 North Cooper St.
Arlington, TX, 76011

Available Services

  • Addiction Services
  • Addiction Services (Detox - Adult )
  • Addiction Services (Non-detox - Adult )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Detox - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )

The Excel Center of Fort Worth
1220 West Presidio
Fort Worth, TX, 76102

Available Services

  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Community Integration (Non 24 Hour Care )

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.

Hospital 2019 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2019 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2019 - December 2019
Hospital-Based Inpatient Psychiatric Services 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.