Quality Report


Quality Report

Tanner Medical Center / Villa Rica
HCO ID: 6741
601 Dallas Highway
Villa Rica, GA, 30180
(770) 456-3000
www.tanner.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Behavioral Health Care
Accreditation Decision
Effective Date
11/29/2018
Last Full Survey Date
11/28/2018
Last On-Site Survey Date
11/28/2018
Gold Seal
Hospital
Accreditation Decision
Effective Date
12/1/2018
Last Full Survey Date
11/30/2018
Last On-Site Survey Date
11/30/2018

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
5/22/2019
Last Full Survey Date
5/21/2019
Last On-Site Survey Date
5/21/2019

Sites

Partial Hosptialization Program (PHP)
523 Dixie Street
Carrollton, GA, 30117

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial - Adult )
  • Behavioral Health (Partial - Child/Youth )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Tanner Medical Center / Villa Rica, Acute/Behavioral Care
601 Dallas Highway
Villa Rica, GA, 30180

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • 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 )
  • 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 )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Primary Stroke Center

Tanner MS Infusion Center
3200 Downwood Circle, Suite 550
Atlanta, GA, 30327

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )

TMC/VR Behavioral Health Services IP and OP
20 Herrell Road
Villa Rica, GA, 30180

Available Services

  • Addiction Care
  • Addiction Care (Detox/Non-detox - Adult )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Behavioral Health (Partial - Adult )
  • Behavioral Health (Partial - Child/Youth )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Partial - Adult )
  • Chemical Dependency (Detox/Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

TMC/VR Behavioral Health Services OP Core Program
101 Quartz Drive. Suite 103A
Villa Rica, GA, 30180

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Case Management (Non 24 Hour Care - Adult )
  • Case Management (Non 24 Hour Care - Child/Youth )

Willowbrooke at Tanner Cartersville
958 Joe Frank Harris Parkway SE Suite 103
Cartersville, GA, 30120

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial - Adult )
  • Behavioral Health (Partial - Child/Youth )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

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.

Hospital 2018 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care 2018 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: April 2018 - March 2019
Emergency Department National Comparison: nd 2 Statewide Comparison: nd 2
Hospital-Based Inpatient Psychiatric Services National Comparison: nd 2 Statewide Comparison: nd 2
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2
Substance Use National Comparison: nd 2 Statewide Comparison: nd 2
Tobacco Treatment 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.