Quality Report


Quality Report

Little Company of Mary Hospital of Indiana, Inc.

DBA: Memorial Hospital and Health Care Center
HCO ID: 7180
800 West Ninth Street
Jasper, IN, 47546
(812) 996-2345
www.mhhcc.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Ambulatory Care
Accreditation Decision
Effective Date
6/17/2022
Last Full Survey Date
6/16/2022
Last On-Site Survey Date
6/16/2022
Gold Seal
Home Care
Accreditation Decision
Effective Date
6/17/2022
Last Full Survey Date
6/16/2022
Last On-Site Survey Date
6/16/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/22/2024
Last Full Survey Date
6/17/2022
Last On-Site Survey Date
2/21/2024
Gold Seal
Laboratory
Accreditation Decision
Effective Date
9/2/2023
Last Full Survey Date
9/1/2023
Last On-Site Survey Date
9/1/2023

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
4/26/2023
Last Full Survey Date
4/25/2023
Last On-Site Survey Date
4/25/2023

Core Certification Programs

Gold Seal
Hip Fracture
Certification Decision
Effective Date
2/2/2024
Last Full Survey Date
2/1/2024
Last On-Site Survey Date
2/1/2024
Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
2/18/2023
Last Full Survey Date
2/17/2023
Last On-Site Survey Date
2/17/2023
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
2/18/2023
Last Full Survey Date
2/17/2023
Last On-Site Survey Date
2/17/2023
Gold Seal
Wound Care
Certification Decision
Effective Date
2/3/2024
Last Full Survey Date
2/2/2024
Last On-Site Survey Date
2/2/2024

Sites

LIttle Company of Mary Hospital of Indiana, Inc.
DBA: Memorial Hospital Rehabilitation Services
695 W. 2nd Street, Suite D
Jasper, IN, 47546

Available Services

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

Other Clinics/Practices Located at This Site:

  • Memorial Health Employer Services Suite A1
  • Memorial Health Employer Services Suite A1
  • Memorial Orthopaedic Associates Suite 2A

Little Company of Mary Hospital of Indiana, Inc.
DBA: Memorial Hospital & HCC Sleep Center
721 West 13th Street Suite 202
Jasper, IN, 47546

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-detox - Adult )
  • Clinical Respiratory
  • Continuous Positive Airway Pressure
  • Durable Medical Equipment
  • Family Support (Non 24 Hour Care )
  • General Laboratory Tests
  • Nebulizers Equipment
  • Neuromuscular Electrical Stimulators
  • Neurostimulators and/or Supplies
  • Outpatient Clinics (Outpatient )
  • Oxygen
  • Perform Invasive Procedure (Outpatient )
  • Prosthetics (Home Medical Equipment)
  • Respiratory Assist Devices
  • Respiratory Equipment
  • Sleep Studies (Outpatient )
  • Suction Pump
  • Technology-Based Addiction Services (Non 24 Hour Care - Adult )
  • Technology-Based Addiction Services (Non-detox - Adult )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Tracheostomy Supplies
  • Ultaviolet Light Devices

Other Clinics/Practices Located at This Site:

  • Audiology & Diabetes Suite 222
  • Jasper Pediatrics
  • Jasper Pediatrics Suite 321
  • Memorial Counseling Center Suite 121
  • Memorial Pulmonary Associates Suite 221
  • Memorial Surgical Associates Suite 220
  • Respiratory Home Care Suite 202

Little Company of Mary Hospital of Indiana, Inc.
DBA: Holland Family Medicine
303 N. Meridian Street
Holland, IN, 47541

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Memorial Outpatient Surgery Center
600 W. 13th St., Suite 100
Jasper, IN, 47546

Available Services

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

Other Clinics/Practices Located at This Site:

  • Memorial Hospital & HCC Outpatient MRI Suite 103
  • Memorial Neurology Associates Suite 205
  • Memorial Urology Associates Suite 105
  • Memorial Urology Associates Suite 105

Little Company of Mary Hospital of Indiana, Inc.
DBA: Memorial Internal Medicine
751 W 9th Street
Jasper, IN, 47546

Available Services

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

Other Clinics/Practices Located at This Site:

  • Memorial Nephrology

Little Company of Mary Hospital of Indiana, Inc.
DBA: Memorial Cardiovascular Services
440 Scott Rolen Drive
Jasper, IN, 47546

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Heartland Cardiology
  • Heartland Cardiology

Little Company of Mary Hospital of Indiana, Inc.
DBA: Petersburg Family Medicine
1003 East Illinois Street
Petersburg, IN, 47567

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Dale Family Medicine
4 West Vine Street
Dale, IN, 47523

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Memorial Hospital and Health Care Center
800 West Ninth Street
Jasper, IN, 47546

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • 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 )
  • 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 )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • On Site Pharmacy
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Rehabilitation Services
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Skilled Nursing Care
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Technology-Based Addiction Services (Non 24 Hour Care - Adult )
  • Technology-Based Addiction Services (Detox - Adult )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Teleradiology (Imaging/Diagnostic Services )
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Hip Fracture
  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Primary Stroke Center

Little Company of Mary Hospital of Indiana, Inc.
DBA: Country Health Center
5066 N 900 E
Montgomery, IN, 47558

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Memorial Wound Care
507 E. 19th Street
Huntingburg, IN, 47542

Available Services

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

Certification Programs

  • Wound Care

Other Clinics/Practices Located at This Site:

  • Huntingburg Urgent Care
  • Huntingburg Urgent Care

Little Company of Mary Hospital of Indiana, Inc.
DBA: Memorial ENT Associates
251 Truman Road
Jasper, IN, 47546

Available Services

  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Santa Claus Family Medicine
92 West Christmas Boulevard
Santa Claus, IN, 47579

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Memorial Health Bristow
26020 SR 145
Bristow, IN, 47515

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Huntingburg Clinic
407 E. 22nd Street
Huntingburg, IN, 47542

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: French Lick Family Medicine
679 State Hwy.145
French Lick, IN, 47432

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Jasper Primary Care Physicians
1950 St. Charles Street Suite 4
Jasper, IN, 47546

Available Services

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

Other Clinics/Practices Located at This Site:

  • Memorial Health St. Charles, Suite 5
  • Memorial Health St. Charles, Suite 5

Little Company of Mary Hospital of Indiana, Inc.
DBA: Memorial Health Family Medicine
966 Bartley Street
Jasper, IN, 47546

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Loogootee Family Medicine
105 Cooper Street
Loogootee, IN, 47553

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Martin County Health Center
229 High Street
Shoals, IN, 47581

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Memorial Health Washington Suite A
600 S. State Rd 57
Washington, IN, 47501

Available Services

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

Other Clinics/Practices Located at This Site:

  • Memorial Health Washington Suite B
  • Memorial Hospital Suite B

Little Company of Mary Hospital of Indiana, Inc.
DBA: Ferdinand Family Medicine
115 S. Main Street
Ferdinand, IN, 47532

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Little Company of Mary Hospital of Indiana, Inc.
DBA: Memorial Home Care
213 US South 231
Jasper, IN, 47546

Available Services

  • General Laboratory Tests
  • Home Health Aides
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Occupational Therapy
  • Physical Therapy
  • Skilled Nursing Services
  • Speech Language Pathology

Other Clinics/Practices Located at This Site:

  • Family Palliative Care

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.

Ambulatory Care 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 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
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.