Quality Report


Quality Report

CGH Medical Center
HCO ID: 7435
100 East LeFevre Rd
Sterling, IL, 61081
(815) 625-0400
www.cghmc.com
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Home Care
Accreditation Decision
Effective Date
10/14/2021
Last Full Survey Date
10/13/2021
Last On-Site Survey Date
10/13/2021
Gold Seal
Hospital
Accreditation Decision
Effective Date
10/16/2021
Last Full Survey Date
10/15/2021
Last On-Site Survey Date
11/22/2021

Sites

CGH 2600 N. Locust
2600 N. Locust Street
Sterling, IL, 61081

Available Services

  • Outpatient Clinics (Outpatient )

CGH Dixon Medical Center
DBA: CGH Dixon Medical Center
1321 N. Galena Avenue
Dixon, IL, 61021

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Wound Clinic

CGH Downtown Medical Center
DBA: CGH Downtown Medical Center
15 W. Third Street
Sterling, IL, 61081

Available Services

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

Other Clinics/Practices Located at This Site:

  • Ready Care Clinic

CGH Fulton Medical Center
1130 17th Street, Suite B
Fulton, IL, 61252

Available Services

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

CGH Home Nursing
3010 E. Lynn Blvd, Suite B
Sterling, IL, 61081

Available Services

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

CGH Locust Street Medical Center
DBA: CGH Locust Street Medical Center
1809 N. Locust Street
Sterling, IL, 61081

Available Services

  • Outpatient Clinics (Outpatient )

CGH Lynn Blvd Medical Center, LTD
DBA: CGH Lynn Blvd Medical Center, LTD
3010 Lynn Boulevard
Sterling, IL, 61081

Available Services

  • Outpatient Clinics (Outpatient )

CGH Medical Center
DBA: Main Clinic
101 E. Miller Road
Sterling, IL, 61081

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

CGH Medical Center
100 East LeFevre Road
Sterling, IL, 61081-1279

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • 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 )
  • Inpatient Unit (Inpatient )
  • 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 )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • 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 )

CGH Medical Center/OP
DBA: CGH Medical Center/OP
10 W. 3rd Street
Sterling, IL, 61081

Available Services

  • Outpatient Clinics (Outpatient )

CGH Milledgeville Medical Center
DBA: CGH Milledgeville Medical Center
505 East Old Mill Street
Milledgeville, IL, 61051

Available Services

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

CGH Morrison Medical Center
DBA: CGH Morrison Medical Center
105 S. Heaton Street
Morrison, IL, 61270

Available Services

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

Other Clinics/Practices Located at This Site:

  • Occupational Therapy
  • Physical Therapy

CGH Mt. Carroll Medical Center
DBA: CGH Mt. Carroll Medical Center
106 E. Market Street
Mount Carroll, IL, 61053

Available Services

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

CGH Polo Medical Center
DBA: CGH Polo Medical Center
711 Division Street
Polo, IL, 61064

Available Services

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

Other Clinics/Practices Located at This Site:

  • Obstetrics

CGH Prophetstown Medical Center
DBA: CGH Prophetstown Medical Center
212 East Railroad Street
Prophetstown, IL, 61277

Available Services

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

CGH Rock Falls Medical Center
DBA: CGH Rock Falls Medical Center
1315 Dixon Avenue
Rock Falls, IL, 61071

Available Services

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

CGH Walnut Medical Center
DBA: CGH Walnut Medical Center
131 Jackson Street
Walnut, IL, 61376

Available Services

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

CGH Wound Healing Center
1809 N. Locust Street
Sterling, IL, 61081

Available Services

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

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 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2021 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.