Quality Report


Quality Report

Tomah Memorial Hospital

DBA: Tomah Health
HCO ID: 7709
501 Gopher Drive
Tomah, WI, 54660
(608) 372-2181
www.tomahhealth.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Critical Access Hospital
Accreditation Decision
Effective Date
8/17/2018
Last Full Survey Date
8/16/2018
Last On-Site Survey Date
9/27/2018
Gold Seal
Home Care
Accreditation Decision
Effective Date
8/18/2018
Last Full Survey Date
8/17/2018
Last On-Site Survey Date
9/25/2018
Gold Seal
Laboratory
Accreditation Decision
Effective Date
3/13/2021
Last Full Survey Date
3/12/2021
Last On-Site Survey Date
3/12/2021

Sites

Hospice Touch
DBA: Hospice Touch
601 Straw Street
Tomah, WI, 54660

Available Services

  • General Laboratory Tests
  • Hospice Care

Tomah Memorial Hospital
DBA: Tomah Health
501 Gopher Drive
Tomah, WI, 54660

Available Services

  • Acute Care
  • 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 )
  • Interventional Radiology (Outpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Otolaryngology (Outpatient - Child/Youth )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sleep Laboratory (Sleep Laboratory )
  • Swing Beds
  • Teleradiology (Imaging/Diagnostic Services )
  • Toxicology
  • Trauma Center (Trauma Center )
  • Ultrasound (Imaging/Diagnostic Services )
  • Vascular Surgery (Surgical Services )

Warrens Walk-In Clinic
DBA: Warrens Walk-In Clinic
101 Unity
Warrens, WI, 54666

Available Services

  • General Laboratory Tests
  • Urgent Care (Outpatient )

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.

Home Care 2018 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Critical Access Hospital 2018 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Laboratory 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na

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.