Quality Report


Quality Report

Northside Hospital - Forsyth
HCO ID: 502059
1200 Northside Forsyth Drive
Cumming, GA, 30041
(404) 851-8000
www.northside.com
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Home Care
Accreditation Decision
Effective Date
12/16/2023
Last Full Survey Date
12/15/2023
Last On-Site Survey Date
12/15/2023
Gold Seal
Hospital
Accreditation Decision
Effective Date
12/16/2023
Last Full Survey Date
12/15/2023
Last On-Site Survey Date
12/15/2023

Advanced Certification Programs

View Certification History
Gold Seal
Heart Failure
Certification Decision
Effective Date
8/12/2023
Last Full Survey Date
8/11/2023
Last On-Site Survey Date
8/11/2023
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
2/6/2024
Last Full Survey Date
2/5/2024
Last On-Site Survey Date
2/5/2024

Core Certification Programs

Gold Seal
Acute Myocardial Infarction
Certification Decision
Effective Date
10/15/2022
Last Full Survey Date
10/14/2022
Last On-Site Survey Date
10/14/2022
Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
3/9/2023
Last Full Survey Date
3/8/2023
Last On-Site Survey Date
3/8/2023
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
3/9/2023
Last Full Survey Date
3/8/2023
Last On-Site Survey Date
3/8/2023
Gold Seal
Pneumonia
Certification Decision
Effective Date
9/30/2023
Last Full Survey Date
9/29/2023
Last On-Site Survey Date
9/29/2023

Sites

Northside Cumming Imaging
100 Mountain View Drive, Suite 200
Cumming, GA, 30040

Available Services

  • Outpatient Clinics (Outpatient )

Northside Dawson Imaging
81 Northside Dawson Drive, Suite 150
Dawsonville, GA, 30534

Available Services

  • Outpatient Clinics (Outpatient )

Northside Forsyth Medical Office Building
2000 Howard Farm Drive
Cumming, GA, 30041

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Northside Boulevard Outpatient Imaging
  • Northside Forsyth Outpatient Rehabilitation

Northside Forsyth Medical Office Building
1800 Northside Forsyth Drive
Cumming, GA, 30041

Available Services

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

Other Clinics/Practices Located at This Site:

  • Breast Care Center at Northside Hospital Forsyth
  • Center for Perinatal Medicine
  • Surgical Care Center

Northside Forsyth Outpatient Surgery Center
1055 Haw Creek Parkway
Cumming, GA, 30041

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:

  • Northside Hospital Forsyth Outpatient Endoscopy Center
  • Northside Hospital Forsyth Outpatient Surgery Center

Northside Gainesville Imaging
425 Broad Street SE
Gainesville, GA, 30501

Available Services

  • Outpatient Clinics (Outpatient )

Northside Hospital Forsyth
1200 Northside Forsyth Drive
Cumming, GA, 30041

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Breast Prostheses and Accessories
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiovascular 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 )
  • Hematology/Oncology Unit (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 )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Prosthetics (Home Medical Equipment)
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Acute Myocardial Infarction
  • Heart Failure
  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Pneumonia
  • Primary Stroke Center

Northside Hospital Forsyth Office Building
1505 Northside Hospital Forsyth Drive
Cumming, GA, 30041

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • A Wellness Place - Suite 1800
  • Heart Failure Clinic

Northside Hospital Forsyth Office Building
1400 Northside Forsyth Drive
Cumming, GA, 30041

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Northside Cardiac Rehabilitation
  • Northside Hospital Pacemaker Clinic
  • Northside Hospital Rehab Services
  • Northside Pulmonary Rehabilitation

Northside Hospital Forsyth Office Building
1100 Northside Forsyth Drive
Cumming, GA, 30041

Available Services

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

Other Clinics/Practices Located at This Site:

  • Diabetes Education
  • Northside Forsyth Outpatient Infusion Center
  • Northside Forsyth Outpatient Radiology
  • Northside Forsyth Sleep Disorders Center
  • Northside Hospital Interventional Pain and Spine Care
  • Northside Hospital Radiation Oncology Center

Northside McGinnis Ferry Imaging
6630 McGinnis Ferry Road, Suite D
Johns Creek, GA, 30097

Available Services

  • Outpatient Clinics (Outpatient )

Northside Snellville Imaging
1608 Tree Lane, Building B, Suite 400
Snellville, GA, 30078

Available Services

  • Outpatient Clinics (Outpatient )

Northside Sugar Hill Imaging
4700 Nelson Brogdon Blvd, Suite 100
Buford, GA, 30518

Available Services

  • Outpatient Clinics (Outpatient )

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

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 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2023 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.