The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
North Carolina Baptist Hospital
Org ID: 6571
Medical Center Boulevard
Winston Salem, NC  27157
(336)716-2011
wakehealth.edu


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Hospital
Accredited 12/10/2011 12/9/2011   12/9/2011  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Hospital


Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Primary Stroke Center
Certification 7/13/2012  7/12/2012  7/12/2012 
Ventricular Assist Device
Certification 7/28/2011  6/28/2011  6/28/2011 



Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Acute Myocardial Infarction
Certification 7/12/2012  7/11/2012  7/11/2012 
Heart Failure
Certification 7/11/2012  7/10/2012  7/10/2012 
Joint Replacement - Hip
Certification 9/12/2012  9/11/2012  9/11/2012 
Joint Replacement - Knee
Certification 9/12/2012  9/11/2012  9/11/2012 


Certification programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Ventricular Assist Device


Other Accredited Programs / Services
Hospital  -  Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)


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  Symbol Key
This organization achieved the best possible results
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
This organization’s performance is below the target range/value.
This measure is not applicable for this organization.
Not displayed
  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.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Hospital
2011 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Oct  2011 -
Sep  2012
Children's Asthma Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
Heart Attack Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Heart Failure Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Pneumonia Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Blood Vessel Surgery
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Colon/Large Intestine Surgery
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Coronary Artery Bypass Graft
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hip Joint Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hysterectomy
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Knee Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Open Heart Surgery
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
  Survey of Patients' Hospital Experiences (see details)
 
Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.

National Quality Forum The Joint Commission only reports measures endorsed by the National Quality Forum.
 
* State results are not calculated for the National Patient Safety Goals.

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Sites and Services
* Primary Location

An organization may provide services not listed here. For more information refer to the Quality Report User Guide .

Locations of Care Available Services
Abdominal Organ Transplant @ NCBH
140 Charloiss Blvd.
Winston Salem, NC  27103
    Services:
    • Outpatient Clinics (Outpatient)
    CompRehab
    131 Miller Street
    Winston Salem, NC  27157
      Services:
      • Anesthesia (Outpatient)
      • Outpatient Clinics (Outpatient)
      • Perform Invasive Procedure (Outpatient)
      Country Club UIMA and MultiSpecialty
      4614 Country Club Road
      Winston Salem, NC  27104
        Services:
        • Outpatient Clinics (Outpatient)
        Dermatology Clinic/surgery
        4618 Country Club Road
        Winston Salem, NC  27104
          Services:
          • Outpatient Clinics (Outpatient)
          • Perform Invasive Procedure (Outpatient)
          Downtown Health Plaza of Baptist Hospital
          1200 Martin Luther King, Jr., Drive
          Winston Salem, NC  27101
            Services:
            • Outpatient Clinics (Outpatient)
            North Carolina Baptist Hospital  *
            Medical Center Boulevard
            Winston Salem, NC  27157
            Joint Commission Advanced Certification Programs:
            • Primary Stroke Center
            • Ventricular Assist Device
            Joint Commission Certified Programs:
            • Acute Myocardial Infarction
            • Heart Failure
            • Joint Replacement - Hip
            • Joint Replacement - Knee
              Services:
              • Brachytherapy (Imaging/Diagnostic Services)
              • Burn Unit (Inpatient)
              • Cardiac Catheterization Lab (Surgical Services)
              • Cardiac Surgery (Surgical Services)
              • Cardiothoracic Surgery (Surgical Services)
              • Cardiovascular Unit (Inpatient)
              • Coronary Care Unit (Inpatient)
              • CT Scanner (Imaging/Diagnostic Services)
              • Dialysis Unit (Inpatient)
              • 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)
              • Hematology/Oncology Unit (Inpatient)
              • Interventional Radiology (Imaging/Diagnostic Services)
              • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
              • Medical /Surgical Unit (Inpatient)
              • Medical ICU (Intensive Care Unit)
              • Neuro/Spine ICU (Intensive Care Unit)
              • Neuro/Spine Unit (Inpatient)
              • Neurosurgery (Surgical Services)
              • Nuclear Medicine (Imaging/Diagnostic Services)
              • Orthopedic Surgery (Surgical Services)
              • Orthopedic/Spine Unit (Inpatient)
              • 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)
              • Sleep Laboratory (Sleep Laboratory)
              • Surgical ICU (Intensive Care Unit)
              • Surgical Unit (Inpatient)
              • Thoracic Surgery (Surgical Services)
              • Transplant Surgery (Surgical Services)
              • Ultrasound (Imaging/Diagnostic Services)
              • Urology (Surgical Services)
              • Vascular Surgery (Surgical Services)
              Stratford Executive Park
              500 Shepherd St. Suites 200, 201, 300
              Winston Salem, NC  27103
                Services:
                • Urgent Care (Outpatient)
                Wake Forest Baptist Health Family Medicine
                1920West First Street
                Winston Salem, NC  27157
                  Services:
                  • Outpatient Clinics (Outpatient)
                  Winston East Pediatrics
                  2795 E. 14th Street
                  Winston Salem, NC  27101
                    Services:
                    • Outpatient Clinics (Outpatient)

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