Quality Report


Quality Report

Northern Hospital District of Surry County

DBA: Northern Regional Hospital
HCO ID: 6531
830 Rockford Street
Mount Airy, NC, 27030
(336) 719-7000
www.choosenorthern.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
2/22/2020
Last Full Survey Date
2/21/2020
Last On-Site Survey Date
2/21/2020
Gold Seal
Laboratory
Accreditation Decision
Effective Date
7/27/2019
Last Full Survey Date
7/26/2019
Last On-Site Survey Date
7/26/2019

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
12/10/2019
Last Full Survey Date
12/9/2019
Last On-Site Survey Date
12/9/2019

Sites

Northern Hospital District of Surry County
DBA: Northern Orthopaedics
314 S. South Street, Suite 100
Mount Airy, NC, 27030

Available Services

  • Outpatient Clinics (Outpatient )

Northern Hospital District of Surry County
DBA: Northern Family Medicine
280 N Pointe Blvd
Mount Airy, NC, 27030

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Northern Hospital District of Surry County
DBA: Northern Pain Management
110 Dutchman's Court
Elkin, NC, 28621

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )
  • Toxicology

Northern Hospital District of Surry County
DBA: Northern Rehab
314 S. South Street, Suite 100
Mount Airy, NC, 27030

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Northern

Northern Hospital District of Surry County
DBA: Northern Obstetrics & Gynecology
510 S. South Street
Mount Airy, NC, 27030

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Northern Hospital District of Surry County
DBA: Northern Pain Management
708 S. South Street, Suite 400
Mount Airy, NC, 27030

Available Services

  • Outpatient Clinics (Outpatient )

Northern Hospital District of Surry County
DBA: Northern Cardiology
708 S South Street, Suite 200
Mount Airy, NC, 27030

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Northern Hospital District of Surry County
DBA: Northern Gastroenterology
708 S South Street, Suite 100
Mount Airy, NC, 27030

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Northern Hospital District of Surry County
119 Welch Road, Suite A
Mount Airy, NC, 27030

Available Services

  • General Laboratory Tests

Northern Hospital District of Surry County
DBA: Northern Urology
423 S. South Street, Suite 101
Mount Airy, NC, 27030

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Northern Hospital District of Surry County
DBA: Northern General Surgery
708 S South Street, Suite 100
Mount Airy, NC, 27030

Available Services

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

Northern Hospital District of Surry County
DBA: Northern Pediatrics
100 North Pointe Boulevard
Mount Airy, NC, 27030

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Northern Hospital District of Surry County
DBA: Northern Regional Hospital
830 Rockford Street
Mount Airy, NC, 27030

Available Services

  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Swing Beds
  • Teleradiology (Imaging/Diagnostic Services )
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Certification Programs

  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • Northern Cardiac Rehabilitation

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.

Laboratory 2019 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
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.