Quality Report


Quality Report

Fort HealthCare, Inc.

DBA: Fort HealthCare, Inc.
HCO ID: 7636
611 Sherman Avenue East
Fort Atkinson, WI, 53538
(920) 568-5000
www.forthhealthcare.com
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
6/22/2019
Last Full Survey Date
6/21/2019
Last On-Site Survey Date
8/2/2019

Sites

Fort HealthCare Cambridge Clinic
704 Katie Court
Cambridge, WI, 53523

Available Services

  • Outpatient Clinics (Outpatient )

Fort HealthCare Center for Women's Health
650 McMillen Street
Fort Atkinson, WI, 53538

Available Services

  • Single Specialty Practitioner (Outpatient )

Fort HealthCare Ear, Nose & Throat Specialists
512 Wilcox
Fort Atkinson, WI, 53538

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Fort HealthCare Integrated Family Care
1520 Madison Avenue
Fort Atkinson, WI, 53538

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Community Integration (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )
  • Outpatient Crisis Stabilization

Fort HealthCare Internal Medicine & Pediatrics
500 McMillen Street
Fort Atkinson, WI, 53538

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Community Integration (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )
  • Outpatient Crisis Stabilization

Fort HealthCare Jefferson
840 W. Racine Street
Jefferson, WI, 53549

Available Services

  • Single Specialty Practitioner (Outpatient )

Fort HealthCare Johnson Creek
400 Doctors Court
Johnson Creek, WI, 53038

Available Services

  • Outpatient Clinics (Outpatient )

Fort HealthCare Lake Mills
200 E. Tyranena Park Road
Lake Mills, WI, 53551

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Community Integration (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )
  • Outpatient Crisis Stabilization

Fort HealthCare Orthopedics & Rehab
1504 Madison Avenue
Fort Atkinson, WI, 53538

Available Services

  • Outpatient Clinics (Outpatient )

Fort HealthCare Pain Management Clinic
1604 Madison Avenue
Fort Atkinson, WI, 53538

Available Services

  • Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

  • Pain Centers of Wisconsin - Fort Atkinson

Fort HealthCare Surgical Associates & Business Office
212 Milwaukee Avenue West
Fort Atkinson, WI, 53538

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Fort HealthCare Whitewater Clinic
1461 West Main Street
Whitewater, WI, 53190

Available Services

  • Outpatient Clinics (Outpatient )

Fort HealthCare, Inc.
611 Sherman Avenue E
Fort Atkinson, WI, 53538

Available Services

  • Allergen Extract (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • Gynecological Surgery (Surgical Services )
  • 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 )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Teleradiology (Imaging/Diagnostic Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

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 2019 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2019 - December 2019
Emergency Department National Comparison: nd 2 Statewide Comparison: nd 2
Immunization National Comparison: nd 2 Statewide Comparison: nd 2
Perinatal Care 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.