Quality Report


Quality Report

USA MEDDAC FORT JACKSON
HCO ID: 6600
4500 8th Division Road
Columbia, SC, 29207
(803) 751-2501
www.moncrief.amedd.army.mil/
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Ambulatory Care
Accreditation Decision
Effective Date
10/15/2022
Last Full Survey Date
10/14/2022
Last On-Site Survey Date
10/14/2022
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
10/15/2022
Last Full Survey Date
10/14/2022
Last On-Site Survey Date
10/14/2022

Core Certification Programs

View Certification History
Gold Seal
Primary Care Medical Home - Ambulatory Care
Certification Decision
Effective Date
10/15/2022
Last Full Survey Date
10/14/2022
Last On-Site Survey Date
10/14/2022

Sites

Army Wellness Center
4512 8th Division Road
Columbia, SC, 29207

Available Services

  • Other Medical/Dental Services (Outpatient )
  • Telehealth (Outpatient )
  • Telehealth - Non-Surgical (Outpatient )

McWethy Troop Medical Clinic
Building 4575 8th Division Rd
Columbia, SC, 29207

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Diagnostic Imaging (Outpatient )
  • General Practice (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Pharmacy/Dispensary, General (Outpatient )
  • Physical Medicine and Rehabilitation (Outpatient )
  • Telehealth (Outpatient )
  • Telehealth - Non-Surgical (Outpatient )
  • X-ray (Outpatient )

Moncrief Army Health Clinic
4500 8th Division Rd
Columbia, SC, 29207-5700

Available Services

  • Allergy (Outpatient )
  • Audiology (Outpatient )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Case Management (Outpatient )
  • Case Management (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Chiropractic Medicine (Outpatient )
  • Computed Tomography (CT) (Outpatient )
  • Dentistry (Outpatient )
  • Dermatology (Outpatient )
  • Developmental Disabilities - Programs / Services (Non 24 Hour Care - Child/Youth )
  • Diagnostic Imaging (Outpatient )
  • Family Practice (Outpatient )
  • General Laboratory Tests
  • General Practice (Outpatient )
  • Magnetic Resonance Imaging (Outpatient )
  • Mammography (Outpatient )
  • Nuclear Medicine (Outpatient )
  • Optometry/Eye Care (Outpatient )
  • Orthopedic Medicine (Outpatient )
  • Orthotics/ Prosthetics (Outpatient )
  • Pediatric Medicine (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Pharmacy/Dispensary, General (Outpatient )
  • Physical Medicine and Rehabilitation (Outpatient )
  • Pulmonary Medicine (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Telehealth (Outpatient )
  • Telehealth - Non-Surgical (Outpatient )
  • Ultrasound (Outpatient )
  • X-ray (Outpatient )

Other Clinics/Practices Located at This Site:

  • Integrated Health Medical Home
  • Oral Max Facilial Services

Reception Medical Clinic
1890 Washington Road
Columbia, SC, 29207

Available Services

  • Audiology (Outpatient )
  • Other Diagnostic Tests/Therapeutic (Outpatient )
  • Other Medical/Dental Services (Outpatient )

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.

Ambulatory Care 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na

New Changes to Quarterly Measure

Download Quarterly Measure Results

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