Quality Report


Quality Report

Culpeper Memorial Hospital, Inc.

DBA: UVA Health Culpeper Medical Center
HCO ID: 6334
501 Sunset Lane
Culpeper, VA, 22701
(540) 829-4100
www.uvaculpeperhospital.com
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
5/26/2023
Last Full Survey Date
5/25/2023
Last On-Site Survey Date
5/25/2023

Advanced Certification Programs

View Certification History
Gold Seal
Acute Heart Attack Ready
Certification Decision
Effective Date
6/8/2022
Last Full Survey Date
6/7/2022
Last On-Site Survey Date
6/7/2022

Core Certification Programs

Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
9/16/2023
Last Full Survey Date
9/15/2023
Last On-Site Survey Date
9/15/2023
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
9/16/2023
Last Full Survey Date
9/15/2023
Last On-Site Survey Date
9/15/2023

Sites

Culpeper Memorial Hospital, Inc.
DBA: UVA Health Culpeper Medical Center
633 Sunset Lane
Culpeper, VA, 22701

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • UVA Health Obstetrics and Gynecology, part of Culpeper Medic

Culpeper Memorial Hospital, Inc.
DBA: UVA Health Culpeper Medical Center
541 Sunset Lane, Suite 101
Culpeper, VA, 22701

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • UVA Health Surgical Care Urology, part of Culpeper Medical Center

Culpeper Memorial Hospital, Inc.
DBA: UVA Health Culpeper Medical Center
1005 Golf Drive
Culpeper, VA, 22701

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • UVA Health Therapy Services Powell

Culpeper Memorial Hospital, Inc.
DBA: UVA Health Culpeper Medical Center
1480 North Main Street, Suite B
Madison, VA, 22727

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • UVA Health Therapy Services Madison

Culpeper Memorial Hospital, Inc.
DBA: UVA Health Culpeper Medical Center
541 Sunset Lane, Suite 305
Culpeper, VA, 22701

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • UVA Health Orthopedics, part of Culpeper Medical Center

Culpeper Memorial Hospital, Inc.
DBA: UVA Health Culpeper Medical Center
501 Sunset Lane
Culpeper, VA, 22701

Available Services

  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical 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 )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Certification Programs

  • Acute Heart Attack Ready
  • Joint Replacement - Hip
  • Joint Replacement - Knee

Other Clinics/Practices Located at This Site:

  • UVA Health Cardiology, part of Culpeper Medical Center

Culpeper Memorial Hospital, Inc.
DBA: UVA Health Culpeper Medical Center
541 Sunset Ln. Suite 103
Culpeper, VA, 22701

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • UVA Health Surgical Care, part of Culpeper Medical Center

Culpeper Memorial Hospital, Inc.
DBA: UVA Health Culpeper Medical Center
545 Sunset Ln.
Culpeper, VA, 22701

Available Services

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

Other Clinics/Practices Located at This Site:

  • UVA Health Cancer Care, part of Culpeper Medical Center

UVA Health Culpeper Medical Center
DBA: UVA Health Culpeper Medical Center
425 Meadowbrook Shopping Center
Culpeper, VA, 22701

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • UVA Health Therapy Services Meadowbrook

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
Reporting Period: January 2022 - December 2022
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

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