Quality Report


Quality Report

Northside Hospital, Inc.

DBA: Northside Hospital Gwinnett
HCO ID: 6705
1000 Medical Center Boulevard
Lawrenceville, GA, 30046
(678) 312-1000
northside.com
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
7/27/2023
Last Full Survey Date
2/18/2022
Last On-Site Survey Date
7/26/2023

Advanced Certification Programs

View Certification History
Gold Seal
Comprehensive Cardiac Center
Certification Decision
Effective Date
10/20/2023
Last Full Survey Date
8/2/2023
Last On-Site Survey Date
8/2/2023
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
7/26/2023
Last Full Survey Date
7/25/2023
Last On-Site Survey Date
7/25/2023

Core Certification Programs

Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
11/11/2023
Last Full Survey Date
11/10/2023
Last On-Site Survey Date
11/10/2023
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
11/11/2023
Last Full Survey Date
11/10/2023
Last On-Site Survey Date
11/10/2023
Gold Seal
Pneumonia
Certification Decision
Effective Date
5/13/2023
Last Full Survey Date
5/12/2023
Last On-Site Survey Date
5/12/2023

Sites

GMC Primary Care & Specialty Center Grayson
1132 Athens Highway Suite 207
Grayson, GA, 30017

Available Services

  • Outpatient Clinics (Outpatient )

GMC Primary Care and Specialty Center Peachtree Corners
5277 Peachtree Parkway
Peachtree Corners, GA, 30092

Available Services

  • Outpatient Clinics (Outpatient )

Northside Athens Imaging
845 Prince Avenue
Athens, GA, 30606

Available Services

  • Outpatient Clinics (Outpatient )

Northside Hospital 500 MOB
500 Professional Drive
Lawrenceville, GA, 30046

Available Services

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

Other Clinics/Practices Located at This Site:

  • Center for Perinatal Medicine

Northside Hospital Gwinnett
1000 Medical Center Blvd.
Lawrenceville, GA, 30046

Available 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 )
  • 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 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 )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Comprehensive Cardiac Center
  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Pneumonia
  • Primary Stroke Center

Northside Hospital Gwinnett
DBA: GMC Health Park-Lawrenceville
665 Duluth Highway
Lawrenceville, GA, 30046

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Northside Gwinnett Outpatient Center

Northside Hospital Gwinnett
DBA: GMC Health Park-Hamilton Mill
2078-2098 Teron Trace Suite 200 & Suites 400-500
Dacula, GA, 30019

Available Services

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

Other Clinics/Practices Located at This Site:

  • Center for Cancer Care Hamilton Mill
  • Hamilton Mill Imaging Center

Northside Hospital Gwinnett 2200 Medical Office Building
DBA: Northside Hospital Gwinnett 2200 Medical Office Building
2200 Medical Center Boulevard
Lawrenceville, GA, 30046

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • NHHI Cardiovascular Diagnostic Center
  • Northside Hospital Gwinnett 2200 Outpatient Imaging
  • Northside Hospital Gwinnett Outpatient Surgery Center

Northside Hospital Gwinnett 575 Medical Office Building
DBA: Northside Hospital Gwinnett
575 Professional Drive Suite 150
Lawrenceville, GA, 30046

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Outpatient Infusion Center
  • Pain Management Center

Northside Hospital Gwinnett MOB 100
DBA: Northside Hospital Gwinnett MOB 100
100 Medical Center Boulevard
Lawrenceville, GA, 30046

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Diabetes and Nutrition Education

Northside Hospital Gwinnett MOB 631
DBA: Northside Hospital Gwinnett MOB 631
631 Professional Drive
Lawrenceville, GA, 30046

Available Services

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

Other Clinics/Practices Located at This Site:

  • Gwinnett Breast Center
  • Imaging Center

Northside Hospital Inpatient Annex
DBA: Northside Hospital Gwinnett
650 Professional Drive
Lawrenceville, GA, 30046

Available Services

  • Inpatient Unit (Inpatient )
  • Medical /Surgical Unit (Inpatient )
  • Non-Sterile Medication Compounding (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Ultrasound (Imaging/Diagnostic Services )

Northside Hospital Sleep Disorders Center - Gainesville
DBA: Northside Hospital Sleep Disorders Center - Gainesville
1071 South Enota Drive NE, Suite B
Gainesville, GA, 30501

Available Services

  • Outpatient Clinics (Outpatient )

Northside Snellville Medical Office Building
2306 Wisteria Lane Suite 110
Snellville, GA, 30078

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Northside Snellville Breast Care Center

Radiation Oncology - Duluth Highway
698 Duluth Hwy
Lawrenceville, GA, 30046

Available Services

  • Outpatient Clinics (Outpatient )

Radiation Oncology - Philip Boulevard
311 Philip Boulevard
Lawrenceville, GA, 30046

Available Services

  • Outpatient Clinics (Outpatient )

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

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
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.