Quality Report


Quality Report

Mid-Columbia Medical Center

DBA: Adventist Health Columbia Gorge
HCO ID: 9720
1700 East 19th Street
The Dalles, OR, 97058
(541) 296-1111
www.mcmc.net
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Home Care
Accreditation Decision
Effective Date
2/17/2023
Last Full Survey Date
2/16/2023
Last On-Site Survey Date
2/16/2023
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/18/2023
Last Full Survey Date
2/17/2023
Last On-Site Survey Date
2/17/2023
Gold Seal
Laboratory
Accreditation Decision
Effective Date
10/29/2022
Last Full Survey Date
10/28/2022
Last On-Site Survey Date
10/28/2022

Core Certification Programs

View Certification History
Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
8/24/2022
Last Full Survey Date
8/23/2022
Last On-Site Survey Date
8/23/2022
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
8/24/2022
Last Full Survey Date
8/23/2022
Last On-Site Survey Date
8/23/2022

Sites

Mid Columbia Medical Center
551 Lone Pine Blvd Suite Suite 300
The Dalles, OR, 97058

Available Services

  • Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

  • Center for Sleep Medicine

Mid- Columbia Medical Center
1700 East 19th Street
The Dalles, OR, 97058

Available Services

  • Single Specialty Practitioner (Outpatient )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee

Other Clinics/Practices Located at This Site:

  • Anticoagulation Clinic

Mid-Columbia Medical Center
551 Lone Pine Blvd., Suite 302
The Dalles, OR, 97058

Available Services

  • Single Specialty Practitioner (Outpatient )

Mid-Columbia Medical Center
551 Lone Pine BLVD. Suite 103
The Dalles, OR, 97058

Available Services

  • Outpatient Clinics (Outpatient )

Mid-Columbia Medical Center
DBA: Adventist Health Columbia Gorge
1700 East 19th Street
The Dalles, OR, 97058

Available Services

  • 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 )
  • 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 )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Mid-Columbia Medical Center
1810 E. 19th St
The Dalles, OR, 97058

Available Services

  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

  • Pathology

Mid-Columbia Medical Center
551 Lone Pine Blvd Suite 290-291
The Dalles, OR, 97058

Available Services

  • Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

  • ECHO/Ultrasound

Mid-Columbia Medical Center
1800 East 19th Street
The Dalles, OR, 97058

Available Services

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

Other Clinics/Practices Located at This Site:

  • Celilo Cancer Center

Mid-Columbia Medical Center Cardiac Rehabilitation
551 Lone Pine BLVD suite 101
The Dalles, OR, 97058

Available Services

  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

  • Cardiac and Pulmonary Rehabilitation Exercise

Visiting Health Services
1935 East 19th Street STE 110
The Dalles, OR, 97058

Available Services

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

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.

Laboratory 2020 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2023 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.