Quality Report


Quality Report

Martin Army Community Hospital
HCO ID: 6691
6600 Van Aalst Blvd, Building 9250
Fort Moore, GA, 31905
(762) 408-2273
www.martin.amedd.army.mil
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
10/22/2021
Last Full Survey Date
10/21/2021
Last On-Site Survey Date
10/21/2021
Gold Seal
Hospital
Accreditation Decision
Effective Date
10/23/2021
Last Full Survey Date
10/22/2021
Last On-Site Survey Date
10/22/2021

Core Certification Programs

View Certification History
Gold Seal
Primary Care Medical Home - Hospital
Certification Decision
Effective Date
10/23/2021
Last Full Survey Date
10/22/2021
Last On-Site Survey Date
10/22/2021

Sites

Army Wellness Center
7919 Marne Road Bldg 9257
Fort Moore, GA, 31905

Available Services

  • Outpatient Clinics (Outpatient )

Consolidated Troop Medical Clinic
7446 Sightseeing Road, Building 2515
Fort Moore, GA, 31905-6100

Available Services

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

Other Clinics/Practices Located at This Site
CTMC Soldier Center Medical Home

Dear Occupational Health Clinic, Anniston Army Depot
Bldg 52, 7 Frankford Ave.
Anniston, AL, 36201-4199

Available Services

  • Outpatient Clinics (Outpatient )

Educational and Developmental Intervention Service
7970 Martin Loop Road, Building 9204
Fort Moore, GA, 31905

Available Services

  • Developmental Disabilities - Programs / Services (Non 24 Hour Care - Child/Youth )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Embedded Behavior Health
6041 Indian Head Road, Building #2412
Fort Moore, GA, 31905-6100

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Peer Support (Non 24 Hour Care )

Harmony Church Troop Medical Clinic
6998 Old Cusseta Road, Bldg 4202
Fort Moore, GA, 31905

Available Services

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

Intensive Out Patient Program
7970 Martin Loop Road Bldg 9204.
Fort Moore, GA, 31905

Available Services

  • Addiction Services
  • Addiction Services (Non-detox - Adult )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )

Martin Army Community Hospital
6600 Van Aalst Blvd, Building 9250
Fort Moore, GA, 31905

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Case Management (Non 24 Hour Care - Adult )
  • Community Integration (Non 24 Hour Care )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Family Support (Non 24 Hour Care )
  • 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 )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Teleradiology (Imaging/Diagnostic Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Other Clinics/Practices Located at This Site
Martin Army Community Pediatric Medical Home Clinic

Martin Army Community Family Medical Home Clinic

Reception Station 30thAG TMC
5305 3rd Infantry Division Road, Bldg 3010
Fort Moore, GA, 31905

Available Services

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

Sand Hill Psychological Program
BLDG 3216, 11th Airborne Division Rd.
Fort Moore, GA, 31905

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Case Management (Non 24 Hour Care - Adult )
  • Outpatient Crisis Stabilization

Sledgehammer Troop Medical Clinic
8830 Watkins St. Bldg#9052 Ft. Benning Ga
Fort Moore, GA, 31905

Available Services

  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site
Sledgehammer Medical Clinic

Troop Medical Clinic #6, Building 27
1Camp Merrill Road C0009
Dahlonega, GA, 30533

Available Services

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

Troop Medical Clinic #8 Building 6004
6069 Walker Lane; Camp James E. Rudder
Eglin AFB, FL, 32542

Available Services

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

Troop Medical Clinic - #4 SFG Eglin, AFB
4315 N. Elsalvador Way Bldg 4315
Eglin AFB, FL, 32542

Available Services

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

Other Clinics/Practices Located at This Site
Troop Soldier Center Medical Home-75FG

Winder Health Clinic
5331 41st Infantry Regiment St.Bldg 3306
Fort Moore, GA, 31905

Available Services

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

Hospital 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2021 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.