Quality Report


Quality Report

Scottish Rite Children's Medical Center, Inc.

DBA: Children's Healthcare of Atlanta at Scottish Rite
HCO ID: 330584
1575 Northeast Expressway
Atlanta, GA, 30329
(404) 785-5312
www.choa.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
7/30/2022
Last Full Survey Date
7/29/2022
Last On-Site Survey Date
7/29/2022

Sites

Center for Advanced Pediatrics
2174 N Druid Hills Rd NE
Atlanta, GA, 30329

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Judson L. Hawk Jr MD Clinic
  • Neurophysiology
  • Phlebotomy Lab
  • Radiology

Children's at Chantilly
1605 Chantilly Drive NE
Atlanta, GA, 30324

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Rehabilitation
  • Sports Physical Therapy

Children's at Cherokee Sports Physical Therapy
1554 Riverstone Parkway Suite 160
Canton, GA, 30114

Available Services

  • Outpatient Clinics (Outpatient )

Children's at Duluth
2270 Duluth Hwy, Suite 200
Duluth, GA, 30097

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • O&P
  • Sports Physical Therapy

Children's at Fayette
1250 Hwy 54 W Suite 200
Fayetteville, GA, 30214

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • O&P
  • Sports Physical Therapy

Children's at Forsyth
410 Peachtree Parkway Suite 300
Cumming, GA, 30041

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • O&P
  • Sports Physical Therapy

Children's at Hudson Bridge Sports Physical Therapy
1496 Hudson Bridge Road
Stockbridge, GA, 30281

Available Services

  • Outpatient Clinics (Outpatient )

Children's at Ivy Walk Sports Physical Therapy
1675 Cumberland Pkwy Suite SE 305
Smyrna, GA, 30080

Available Services

  • Outpatient Clinics (Outpatient )

Children's at Meridian Mark
5445 Meridian Mark Plaza Suite 200
Atlanta, GA, 30342

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • O&P
  • Sports Physical Therapy

Children's at Old Miton O&P
3300 Old Milton Parkway, Suite 370
Alpharetta, GA, 30005

Available Services

  • Outpatient Clinics (Outpatient )

Children's at Satellite Boulevard
2620 Satellite Blvd
Duluth, GA, 30096

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Surgery Center

Children's at Satellite Boulevard
2660 Satellite Blvd
Duluth, GA, 30096

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Sleep Lab
  • Ultrasound
  • X-Ray

Children's at Snellville Sports Physical Therapy
2220 Wisteria Drive
Snellville, GA, 30078

Available Services

  • Outpatient Clinics (Outpatient )

Children's at Town Center
605 Big Shanty Road NW
Kennesaw, GA, 30144

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • O&P
  • Rehabilitation
  • Sports Physical Therapy

Children's at Town Center
625 Big Shanty Road
Kennesaw, GA, 30144

Available Services

  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Radiology

Children's at Webb Bridge
3155 North Point Parkway, Building A, 100 and 150
Alpharetta, GA, 30005

Available Services

  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Radiology
  • Sports Physical Therapy

Children's Medical Office Building at Scottish Rite
5461 Meridian Mark Road, NE
Atlanta, GA, 30342

Available Services

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

Other Clinics/Practices Located at This Site:

  • AFLAC Cancer and Blood DIsorders Center
  • Center for Craniofacial Disorders
  • Children's Rehabilitation

Children's Stephanie V Blank Center for Safe and Healthy Chi
975 Johnson Ferry Road
Atlanta, GA, 30342

Available Services

  • Outpatient Clinics (Outpatient )

Day Rehabilitation Program
993F Johnson Ferry Road Suite 260
Atlanta, GA, 30342

Available Services

  • Outpatient Clinics (Outpatient )

Scottish Rite Children's Medical Center, Inc.
DBA: Children's Healthcare of Atlanta at Scottish Rite
1001 Johnson Ferry Road
Atlanta, GA, 30342

Available Services

  • 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 )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Nuclear Pharmacy (Inpatient )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Other Clinics/Practices Located at This Site:

  • Day Hospital
  • The Center for Advanced Technology and Robotic Rehabilitatio

Surgery Center at Meridian Mark, LLC
DBA: Surgery Center at Meridian Mark, LLC
5445 Meridian Mark Road NE
Atlanta, GA, 30342

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • Pediatric Plastic Surgery (Outpatient - Child/Youth )
  • Perform Invasive Procedure (Outpatient )

Organization Commentary

Ms. Donna Hyland, President/CEO

Children’s Healthcare of Atlanta, a not-for-profit organization, is committed to enhancing the lives of children through excellence in patient care, research and education. Our goal is to transform pediatric healthcare and be the leading voice for the health of Georgia’s children. Managing more than half a million patient visits annually at three hospitals and 16 neighborhood locations, Children’s is one of the largest clinical care providers for children in the country. Children’s offers access to more than 30 pediatric specialties and is ranked among the top children’s hospitals by Parents magazine and U.S.News & World Report. With generous philanthropic and volunteer support, Children’s has made an impact in the lives of children in Georgia, the United States and throughout the world. At Children’s we want to lead the industry in defining, measuring, demonstrating and most importantly delivering superior quality care for children. We are committed to working with our Medical staff and other pediatric partners to better understand and define quality measures that will enable us to fulfill this goal. Thank you for your interest in Children’s Healthcare of Atlanta. Visit www.choa.org for more information.

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than 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.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than 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.
  12. The measure rate is within optimal range.

* 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 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.