Quality Report


Quality Report

Community Health Network, Inc.

DBA: Community Hospital East
HCO ID: 7172
1500 N. Ritter Avenue
Indianapolis, IN, 46219
(317) 355-1411
www.ecommunity.com
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
3/4/2022
Last Full Survey Date
3/3/2022
Last On-Site Survey Date
3/3/2022
Gold Seal
Home Care
Accreditation Decision
Effective Date
3/4/2022
Last Full Survey Date
3/3/2022
Last On-Site Survey Date
3/3/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
3/5/2022
Last Full Survey Date
3/4/2022
Last On-Site Survey Date
4/22/2022
Gold Seal
Laboratory
Accreditation Decision
Effective Date
8/6/2022
Last Full Survey Date
8/5/2022
Last On-Site Survey Date
8/5/2022

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
4/16/2022
Last Full Survey Date
4/15/2022
Last On-Site Survey Date
4/15/2022
Gold Seal
Ventricular Assist Device
Certification Decision
Effective Date
4/6/2022
Last Full Survey Date
4/5/2022
Last On-Site Survey Date
4/5/2022

Sites

CFBH Anderson
3125 S Scatterfield Rd Ste 200
Anderson, IN, 46013

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Case Management (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Non-detox - Adult )
  • General Laboratory Tests

CFBH Clubhouse
1405 N Ritter Ave
Indianapolis, IN, 46219

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Case Management (Non 24 Hour Care - Adult )
  • Community Integration (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

CFBH Community Support Services
5470 E. 16th St.
Indianapolis, IN, 46218

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Case Management (Non 24 Hour Care - Adult )
  • Employment Services (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

CFBH East Psychiatric Care
5435 E 16th St Ste 500
Indianapolis, IN, 46218

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • General Laboratory Tests

CFBH Greenfield
145 Green Meadows Dr
Greenfield, IN, 46140

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 )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Non-detox - Adult )
  • Chemical Dependency (Detox/Non-detox - Adult )
  • General Laboratory Tests

CFBH Harmony House

Indianapolis, IN, 46219

Available Services

  • Behavioral Health (Group Home(s) - Adult )
  • Community Integration (Non 24 Hour Care )

CFBH Hillsdale
6950 Hillsdale Court
Indianapolis, IN, 46250

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Non-detox - Adult )
  • General Laboratory Tests

CFBH Lutherwood
1525 N Ritter Avenue, Suite 100
Indianapolis, IN, 46219

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 )
  • Family Support (Non 24 Hour Care )

CFBH North Psychiatric Care Exclude Unit 9
7165 Clearvista Way
Indianapolis, IN, 46256

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )

CFBH Shelby House

Shelbyville, IN, 46176

Available Services

  • Behavioral Health (Group Home(s) - Adult )
  • Community Integration (Non 24 Hour Care )

CFBH Shelbyville
7 East Hendricks
Shelbyville, IN, 46176

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Non-detox - Adult )
  • Chemical Dependency (Detox/Non-detox - Adult )
  • General Laboratory Tests

CFBH SouthPointe
1030 East County Line Road, Suite C-1
Indianapolis, IN, 46227

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Non-detox - Adult )
  • General Laboratory Tests

CFBH Stepping Stones

Indianapolis, IN, 46219

Available Services

  • Behavioral Health (Group Home(s) - Adult )
  • Community Integration (Non 24 Hour Care )

CFBH Warren Adult Services
2040 N Shadeland Ave.
Indianapolis, IN, 46219

Available Services

  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Non-detox - Adult )
  • Chemical Dependency (Detox/Non-detox - Adult )
  • General Laboratory Tests

CFBH Warren Youth Services
2040 N Shadeland Avenue
Indianapolis, IN, 46219

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 )

CHE Sleep/Wake Disorder Center
1400 N. Ritter Ave. Suite 481
Indianapolis, IN, 46219

Available Services

  • Outpatient Clinics (Outpatient )

Community Cancer Care - Anderson
1629 Medical Arts Blvd, Suite 120
Anderson, IN, 46011

Available Services

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

Community Cancer Center North
7979 N Shadeland Ave Suites 100, 200 & 300
Indianapolis, IN, 46250

Available Services

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

Community Group Family Practice
10122 E. 10th St. #100
Indianapolis, IN, 46229

Available Services

  • General Laboratory Tests

Community Heart and Vascular Hospital
8075 N. Shadeland Avenue
Indianapolis, IN, 46250

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • General Laboratory Tests
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Ventricular Assist Device

Community Heart and Vascular Pulmonary Rehab
8075 N. Shadeland Avenue, Suite 130
Indianapolis, IN, 46250

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Community Heart and Vascular Testing Center
1400 N Ritter Avenue, Suite 500
Indianapolis, IN, 46219

Available Services

  • Outpatient Clinics (Outpatient )

Community Heart and Vascular Testing Center
8075 N. Shadeland Avenue, Suite 140
Indianapolis, IN, 46250

Available Services

  • Outpatient Clinics (Outpatient )

Community Home Health Services, Inc.
DBA: Community Home Medical Equipment
1210A Medical Arts Boulevard Suite 102
Anderson, IN, 46011

Available Services

  • Blood Glucose Monitors (mail order)
  • Blood Glucose Monitors (non-mail order)
  • Canes and Crutches
  • Clinical Respiratory
  • Commodes
  • Continuous Positive Airway Pressure
  • Custom Orthoses Fabricated
  • Durable Medical Equipment
  • Enteral Equipment and/or Supplies
  • Enteral Nutrients
  • Gastric Suction Pumps
  • Hospital Beds - Electric
  • Hospital Beds - Manual
  • Nebulizers Equipment
  • Negative Pressure Wound
  • Off The Shelf Orthoses
  • Orthoses Prefabricated - Custom fitted
  • Oxygen
  • Patient Lifts and Accessories
  • Prosthetics (Home Medical Equipment)
  • Respiratory Assist Devices
  • Respiratory Equipment
  • Suction Pump
  • Supplies
  • Support Surfaces for Beds (New)
  • Tracheostomy Supplies
  • Traction Equipment
  • Ventilators All Types
  • Walkers, Canes and Crutches
  • Wheelchair Seating / Cushions
  • Wheelchairs - Manual Non-Custom
  • Wheelchairs-Standard Manual Related Accessories and Repairs

Community Home Health Services, Inc.
DBA: Community Home Medical Equipment
3500 S Lafountain St Room A213
Kokomo, IN, 46902

Available Services

  • Blood Glucose Monitors (non-mail order)
  • Canes and Crutches
  • Clinical Respiratory
  • Commodes
  • Continuous Positive Airway Pressure
  • Custom Orthoses Fabricated
  • Durable Medical Equipment
  • Gastric Suction Pumps
  • High Frequency Chest Wall Oscillation (HFCWO)
  • Hospital Beds - Electric
  • Hospital Beds - Manual
  • Nebulizers Equipment
  • Negative Pressure Wound
  • Off The Shelf Orthoses
  • Orthoses Prefabricated - Custom fitted
  • Oxygen
  • Patient Lifts and Accessories
  • Prosthetics (Home Medical Equipment)
  • Respiratory Assist Devices
  • Respiratory Equipment
  • Suction Pump
  • Support Surfaces for Beds (New)
  • Tracheostomy Supplies
  • Ventilators All Types
  • Walkers, Canes and Crutches
  • Wheelchair Seating / Cushions
  • Wheelchairs - Manual Non-Custom
  • Wheelchairs-Standard Manual Related Accessories and Repairs

Community Home Health Services, Inc.
DBA: Community Home Medical Equipment
9894 East 121st Street
Fishers, IN, 46037

Available Services

  • Blood Glucose Monitors (mail order)
  • Blood Glucose Monitors (non-mail order)
  • Canes and Crutches
  • Clinical Respiratory
  • Commodes
  • Continuous Positive Airway Pressure
  • Custom Orthoses Fabricated
  • Durable Medical Equipment
  • Enteral Equipment and/or Supplies
  • Enteral Nutrients
  • High Frequency Chest Wall Oscillation (HFCWO)
  • Hospital Beds - Electric
  • Hospital Beds - Manual
  • Nebulizers Equipment
  • Negative Pressure Wound
  • Off The Shelf Orthoses
  • Orthoses Prefabricated - Custom fitted
  • Oxygen
  • Parenteral Equipment and/or Supplies
  • Parenteral Nutrients
  • Patient Lifts and Accessories
  • Prosthetics (Home Medical Equipment)
  • Respiratory Assist Devices
  • Respiratory Equipment
  • Suction Pump
  • Supplies
  • Support Surfaces for Beds (New)
  • Tracheostomy Supplies
  • Ultaviolet Light Devices
  • Ventilators All Types
  • Walkers, Canes and Crutches
  • Wheelchair Seating / Cushions
  • Wheelchairs - Manual Non-Custom
  • Wheelchairs-Standard Manual Related Accessories and Repairs

Community Hospital East
1500 N. Ritter Ave.
Indianapolis, IN, 46219

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • 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 )
  • 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 Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • 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

  • Primary Stroke Center

Community Imaging & Physical Therapy & Rehab
740 W Green Meadows Dr., Suite 120
Greenfield, IN, 46140

Available Services

  • Outpatient Clinics (Outpatient )

Community Imaging Center - East
7910 East Washington Street, Suite 150
Indianapolis, IN, 46219

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Community Imaging Center South
1440 E County Line Rd, Suite 3100
Indianapolis, IN, 46227

Available Services

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

Community Infusion - Anderson
3125 S Scatterfield Rd Ste 110
Anderson, IN, 46013

Available Services

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

Community Infusion Center
7910 E Washington St Ste 360
Indianapolis, IN, 46219

Available Services

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

Community Infusion Center - Speedway
1011 Main Street, Suite 150
Speedway, IN, 46224

Available Services

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

Community Infusion Center Castleton
8177 Clearvista Pky.
Indianapolis, IN, 46256

Available Services

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

Community Physical Therapy and Rehab - East
7910 East Washington Street, Suite 150
Indianapolis, IN, 46219

Available Services

  • Outpatient Clinics (Outpatient )

Community Westview Hospital - PT & Rehab West
3660 Guion Rd, Suite 120
Indianapolis, IN, 46222

Available Services

  • Outpatient Clinics (Outpatient )

Healthy Hearts Heart Failure Center
8075 N. Shadeland Avenue, Suite 350
Indianapolis, IN, 46250

Available Services

  • Outpatient Clinics (Outpatient )

Medical and Radiation Oncology
1440 E County Line Rd, Suite 1200
Indianapolis, IN, 46227

Available Services

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

Medical Oncology Center East
1400 N. Ritter Avenue
Indianapolis, IN, 46219

Available Services

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

Multidisciplinary Clinic
1440 E County Line Rd, Suite 2100
Indianapolis, IN, 46227

Available Services

  • Outpatient Clinics (Outpatient )

Physical Therapy and Rehab - Neuro Specialty Program
8501 East 56th St. Suite 140
Indianapolis, IN, 46216

Available Services

  • Outpatient Clinics (Outpatient )

Physical Therapy, Rehab, & Imaging Center - Speedway
1011 Main Street, Suite 130
Indianapolis, IN, 46224

Available Services

  • Outpatient Clinics (Outpatient )

Rehab and Sports Medicine Center Shadeland
2040 N. Shadeland Avenue Suite 100
Indianapolis, IN, 46219

Available Services

  • Outpatient Clinics (Outpatient )

Rehab and Sports Medicine East
10122 E. 10th Street, Suite 225
Indianapolis, IN, 46229

Available Services

  • Outpatient Clinics (Outpatient )

School Based Clinics
1525 N Ritter Ave
Indianapolis, IN, 46219

Specialty Pharmacy
7250 Clearvista Drive, Suite 140
Indianapolis, IN, 46256

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 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
Home Care 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Laboratory 2022 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

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