Quality Report


Quality Report

Indiana University Health Bloomington, Inc.

DBA: Indiana University Health Bloomington
HCO ID: 7137
2651 East Discovery Parkway
Bloomington, IN, 47408
(812) 353-5252
iuhealth.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
3/20/2024
Last Full Survey Date
4/28/2023
Last On-Site Survey Date
3/19/2024

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Total Hip and Total Knee Replacement
Certification Decision
Effective Date
2/9/2023
Last Full Survey Date
2/8/2023
Last On-Site Survey Date
2/8/2023

Sites

Indiana University Health Behavioral Health
727 W. 2nd St
Bloomington, IN, 47403

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Detox/Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Technology-Based Addiction Services (Non 24 Hour Care - Adult )
  • Technology-Based Addiction Services (Detox/Non-detox - Adult )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Other Clinics/Practices Located at This Site:

  • IU Health Bloomington Addiction Treatment and Recovery, Suit

Indiana University Health Bloomington, Inc
DBA: Indiana University Health Bloomington
2651 East Discovery Parkway
Bloomington, IN, 47408

Available Services

  • Allergen Extract (Inpatient )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Community Integration (Non 24 Hour Care )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • 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 )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Nuclear Pharmacy (Inpatient )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Total Hip and Total Knee Replacement

Other Clinics/Practices Located at This Site:

  • Indiana University Health Advanced Heart Care
  • Indiana University Health Cardiology
  • Indiana University Health Cardiovascular Surgery
  • Indiana University Health Infectious Disease
  • Indiana University Health Obstetrics & Gynecology
  • Indiana University Health Pulmonology
  • Indiana University Health Vascular Surgery
  • IU Health Anticoagulation Clinic
  • IU Health Medical Oncology & Hematology Clinic

Indiana University Health Cancer Radiation Center
2620 Cota Drive
Bloomington, IN, 47403

Available Services

  • Outpatient Clinics (Outpatient )

Indiana University Health Cancer Radiation Center Bedford
9149 State Road 37; RR 11 Box 493
Bedford, IN, 47421

Available Services

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

Indiana University Health Rehabilitation & Sport
2499 Cota Dr.
Bloomington, IN, 47403

Available Services

  • Outpatient Clinics (Outpatient )

Indiana University Health Rehabilitation & Sport
326 South Woodcrest
Bloomington, IN, 47401

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Indiana University Health Rehabilitation & Sport
926 West State Road 46, Suite #200
Spencer, IN, 47460

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Indiana University Health Wound Care and Sleep Lab
2920 S. McIntire Dr
Bloomington, IN, 47403

Available Services

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

IU Health Children's Therapy Center, Suite B
4935 W. Arlington Rd. Suite B&C
Bloomington, IN, 47404

Available Services

  • Outpatient Clinics (Outpatient )

IU Health Pain Center
888 Auto Mall Road
Bloomington, IN, 47401

Available Services

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

Organization Commentary

Mr. Denzil Ross, President - IU Health SCR

An Open Letter to Our Community, Bloomington Hospital is proud to be accredited by the Joint Commission. Our mission outlines high quality care as a key reason for our existence and a basis for our definition of clinical excellence. We are pleased to serve our community with a team of expert physicians, specialists and health care professionals, who believe providing quality care to our patients is of the utmost importance. Our Joint Commission accreditation means we have demonstrated compliance with national standards in patient safety and quality of care. We embrace accreditation as an opportunity to review key processes and receive important feedback from national quality and safety experts. At Bloomington Hospital, we continually strive to further our quality goals and enhance each patient’s experience with our organization. From internal, multi-disciplinary teams of health care professionals who study our processes and procedures for quality improvements to being recognized from national organizations for our work toward providing outstanding quality of care, Bloomington Hospital is focused on quality - because it’s the right thing to do for our patients. To learn more about quality care at Bloomington Hospital, please visit bloomingtonhospital.org and click on “Hospital Quality Ratings.” Sincerely, LeAnne Horn, BSBA, RRT, CPHQ Director of Quality Improvement Patient Safety Officer Bloomington Hospital 812.353.9396

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 2024 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.