Quality Report


Quality Report

Memorial Hospital Flagler, Inc.

DBA: AdventHealth Palm Coast
HCO ID: 466350
60 Memorial Medical Parkway
Palm Coast, FL, 32164
(386) 586-4200
www.adventhealth.com/hospital/adventhealth-palm-co
Summary of Quality Information

Accreditation Programs

Gold Seal
Home Care
Accreditation Decision
Effective Date
2/9/2018
Last Full Survey Date
2/8/2018
Last On-Site Survey Date
2/8/2018
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/10/2018
Last Full Survey Date
2/9/2018
Last On-Site Survey Date
2/9/2018

Core Certification Programs

Gold Seal
Certification Decision
Effective Date
9/25/2020
Last Full Survey Date
9/24/2020
Last On-Site Survey Date
9/24/2020
Gold Seal
Certification Decision
Effective Date
9/25/2020
Last Full Survey Date
9/24/2020
Last On-Site Survey Date
9/24/2020
Gold Seal
Certification Decision
Effective Date
9/26/2020
Last Full Survey Date
9/25/2020
Last On-Site Survey Date
9/25/2020

Sites

AdventHealth Imaging Palm Coast
120 Cypress Edge Drive; Suite 103
Palm Coast, FL, 32164

Available Services

  • Single Specialty Practitioner (Outpatient )

AdventHealth Prompt Care Palm Coast
120 Cypress Edge Drive, Suite 102
Palm Coast, FL, 32164

Available Services

  • Outpatient Clinics (Outpatient )

AdventHealth Sports Med & Rehab Freytag
120 Cypress Edge Dr., Suite 101
Palm Coast, FL, 32164

Available Services

  • Outpatient Clinics (Outpatient )

Memorial Hospital Flagler Inc.
DBA: AdventHealth Palm Coast
60 Memorial Medical Parkway
Palm Coast, FL, 32164

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Joint Replacement - Shoulder

Memorial Hospital Flagler, Inc.
DBA: Stuart F. Meyer HospiceHouse
150 Memorial Medical Parkway
Palm Coast, FL, 32164

Available Services

  • Hospice Care

Memorial Hospital Flagler, Inc.
DBA: AdventHealth Hospice Care East Florida
770 W. Granada Blvd, Suite 304
Ormond Beach, FL, 32174

Available Services

  • Hospice Care

Memorial Hospital Flagler, Inc.
DBA: AdventHealth Town Center Surgery
21 Hospital Drive, Suite 220
Palm Coast, FL, 32164

Available Services

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

Memorial Hospital Flagler, Inc.
DBA: AdventHealth Home Care East Florida
1061 Medical Center Drive, Suite 112
Orange City, FL, 32763

Memorial Hospital Flagler, Inc.
DBA: AdventHealth Home Care East Florida
770 W Granada Blvd., Suite 319
Ormond Beach, FL, 32174

Available Services

  • Home Health Aides
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Occupational Therapy
  • Physical Therapy
  • Skilled Nursing Services
  • Speech Language Pathology

Memorial Hospital Flagler, Inc.
DBA: AdventHealth Hospice Care East Florida
1055 Saxon Blvd.
Orange City, FL, 32763

Available Services

  • Hospice Care

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.

Hospital 2018 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2018 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2019 - December 2019
Emergency Department 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.