Quality Report


Quality Report

Spring Valley Hospital Medical Center

DBA: Spring Valley Hospital Medical Center
HCO ID: 395162
5400 South Rainbow Boulevard
Las Vegas, NV, 89118
(702) 853-3000
www.springvalleyhospital.com
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
9/17/2022
Last Full Survey Date
9/16/2022
Last On-Site Survey Date
9/16/2022

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
9/22/2023
Last Full Survey Date
9/21/2023
Last On-Site Survey Date
9/21/2023
Gold Seal
Certification Decision
Effective Date
12/8/2023
Last Full Survey Date
12/7/2023
Last On-Site Survey Date
12/7/2023
Gold Seal
Certification Decision
Effective Date
9/21/2023
Last Full Survey Date
9/20/2023
Last On-Site Survey Date
9/20/2023
Gold Seal
Certification Decision
Effective Date
12/7/2023
Last Full Survey Date
12/6/2023
Last On-Site Survey Date
12/6/2023

Core Certification Programs

Gold Seal
Certification Decision
Effective Date
2/10/2024
Last Full Survey Date
2/9/2024
Last On-Site Survey Date
2/9/2024
Gold Seal
Certification Decision
Effective Date
2/10/2024
Last Full Survey Date
2/9/2024
Last On-Site Survey Date
2/9/2024

Sites

Spring Valley ER at Blue Diamond
DBA: ER at Blue Diamond
9217 S Cimarron Rd
Las Vegas, NV, 89178

Available Services

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

Certification Programs

  • Acute Heart Attack Ready
  • Acute Stroke Ready Hospital

Spring Valley Hospital Medical Center
DBA: Spring Valley Hospital Medical Center
5400 S. Rainbow Blvd.
Las Vegas, NV, 89118

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical 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 )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (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 )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Surgical Unit (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Primary Heart Attack Center
  • Thrombectomy-Capable Stroke Center

Other Clinics/Practices Located at This Site:

  • Spring Valley Hospital Medical Center Wound Care Center

Valley Health Specialty Hospital
DBA: Valley Health Specialty Hospital
8656 W. Patrick Lane
Las Vegas, NV, 89148

Available Services

  • CT Scanner (Imaging/Diagnostic Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Inpatient Unit (Inpatient )
  • Medical /Surgical Unit (Inpatient )
  • Orthopedic Surgery (Surgical Services )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Ultrasound (Imaging/Diagnostic Services )

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
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

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