Quality Report


Quality Report

Southcoast Hospitals Group, Inc.
HCO ID: 5544
363 Highland Avenue
Fall River, MA, 02720
(508) 973-8000
www.southcoast.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
6/8/2019
Last Full Survey Date
6/7/2019
Last On-Site Survey Date
1/17/2020

Sites

SHG Cardiac Medical Imaging
DBA: Cardiac Medical Imaging Services @ Truesdale Clinic
1030 President Avenue
Fall River, MA, 02720

Available Services

  • Outpatient Clinics (Outpatient )

SHG Center for Women's Health Rehabilitation and Radiology
DBA: Radiology Rehabilitation Services
300B-300C Faunce Corner Road
Dartmouth, MA, 02747

Available Services

  • Outpatient Clinics (Outpatient )

SHG Centers for Cancer Care
DBA: Radiology Imaging Services Center for Cancer Care
206 Mill Road
Fairhaven, MA, 02719

Available Services

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

SHG Linden Tree Family Health Center
DBA: Linden Tree Laboratory, Rehab, Radiology
2444 East Main Road
Portsmouth, RI, 02871

Available Services

  • Outpatient Clinics (Outpatient )

SHG Radiology and Laboratory Services
DBA: Healthfirst
387 Quarry Street Suite 104
Fall River, MA, 02723

Available Services

  • Outpatient Clinics (Outpatient )

SHG Radiology Services
DBA: Radiology Services @ Borden Medical
300 Hanover Street, Suite 2B
Fall River, MA, 02720

Available Services

  • Outpatient Clinics (Outpatient )

SHG Radiology Services
DBA: GNB Community Health Center
874 Purchase Street
New Bedford, MA, 02740

Available Services

  • Outpatient Clinics (Outpatient )

SHG Radiology Services and Laboratory Patient Service Center
DBA: Radiology & Laboratory Patient Service Center @ Rosebrook
100 Rosebrook Way Suite 101
Wareham, MA, 02571

Available Services

  • Outpatient Clinics (Outpatient )

SHG Rehabilitation and Radiology Services
DBA: Rehab and Radio Services @ Truesdale Clinic - Stanley Street
263 Stanley Street
Fall River, MA, 02720

Available Services

  • Outpatient Clinics (Outpatient )

SHG Rehabilitation Services
DBA: Outpatient Rehabilitation Services @ Recovery Road
1 Recovery Road
Wareham, MA, 02571

Available Services

  • Outpatient Clinics (Outpatient )

SHG Rehabilitation Services
DBA: Rehab Services @ Dartmouth Place- Mashpee Bldg
49 State Road
Dartmouth, MA, 02747

Available Services

  • Outpatient Clinics (Outpatient )

SHG Rehabilitation Services
DBA: Rehabilitation Services
1565 North Main Street
Fall River, MA, 02720

Available Services

  • Outpatient Clinics (Outpatient )

SHG Rehabilitation Services - Wareham YMCA
DBA: SHG Rehabilitation Services @ Wareham YMCA
33 Charge Pond Road
Wareham, MA, 02571

Available Services

  • Outpatient Clinics (Outpatient )

Southcoast Center for Primary and Specialty Care
DBA: Southcoast Radiology and Laboratory Services
208 Mill Road Suite 102,105, 106
Fairhaven, MA, 02719

Available Services

  • Outpatient Clinics (Outpatient )

Southcoast Health Van
DBA: Mobile Services
363 Highland Avenue
Fall River, MA, 02720

Available Services

  • Outpatient Clinics (Outpatient )

Southcoast Hospital Group, Inc.
DBA: Tobey Hospital Site of Southcoast Hospitals Group
43 High Street
Wareham, MA, 02571

Available Services

  • CT Scanner (Imaging/Diagnostic Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • Gynecological Surgery (Surgical Services )
  • Inpatient Unit (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Southcoast Hospitals Group Inc.
DBA: Southcoast Health Rehabiltation and Breast Center
235 Hanover Street Suite 301
Fall River, MA, 02720

Available Services

  • Outpatient Clinics (Outpatient )

Southcoast Hospitals Group Radiology and Laboratory Services
827 American Legion Highway
Westport, MA, 02790

Available Services

  • Outpatient Clinics (Outpatient )

Southcoast Hospitals Group Rehabilitation at the Schwartz Ce
1 Posa Place
North Dartmouth, MA, 02747

Available Services

  • Outpatient Clinics (Outpatient )

Southcoast Hospitals Group, Inc
DBA: SHG Ambulatory Surgery Center @ Faunce Corner
300D Faunce Corner Road
North Dartmouth, MA, 02747

Available Services

  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )

Southcoast Hospitals Group, Inc.
DBA: St. Luke's Hospital Site of Southcoast Hospitals Group
101 Page Street
New Bedford, MA, 02740

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Coronary Care Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • 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 )
  • Neuro/Spine Unit (Inpatient )
  • 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 )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • 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 )

Southcoast Hospitals Group, Inc.
DBA: Charlton Memorial Hospital Site of Southcoast Hospitals Grp
363 Highland Avenue
Fall River, MA, 02720

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • Coronary Care Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • 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 )
  • 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 )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • 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 )

Southcoast Rehabilitation Brain and Spine Clinic
DBA: Southcoast Rehabilitation Brain and Spine Clinic
480 Hawthorne Street
South Dartmouth, MA, 02748

Available Services

  • Outpatient Clinics (Outpatient )

Special Quality Awards

   Due to our commitment to accurate data reporting, The Joint Commission is suspending the practice of updating Special Quality Awards until
  further notice
  • 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program
  • 2015 Silver Plus Get With The Guidelines - Stroke

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 2020 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
Perinatal Care 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.