NAMES AND ADDRESSES OF ADDITIONAL HOSPITALS, AGENCIES, AND SERVICES OPERATED UNDER THE HOSPITAL LICENSE
The above section lists one hospital as the licensed hospital. In addition to the
licensed hospital, there may be other hospitals, agencies, or services associated
with the licensed hospital under the hospital's license number or under a separate
license number. Some of these hospitals or services may be located at sites
separate from the main hospital campus. The following are
hospitals, agencies, and services associated with the main hospital.
DEARBORN CO HOSPITAL HOME HEALTH AND HOSPICE 370 BIELBY RD LAWRENCEBURG, IN 47025
DEARBORN CO HOSPITAL HOME HEALTH AND HOSPICE 370 BIELBY ROAD LAWRENCEBURG, IN 47025
The following services are available at the licensed hospital listed above. These
services include services provided directly by hospital staff and services that the
hospital provides through contracts with outside personnel. The listed services
may or may not be available at the off-site (satellite) hospitals, agencies, or
services operated under the hospital license.
Alcohol and/or Drug Services
Burn Care Unit
Cardiac Catheterization Laboratory
Cardiac - Thoracic Surgery
Emergency Department (Dedicated)
Extracorporeal Shock Wave Lithotripter
Gerontological Specialty Services
Home Health Services
ICU - Cardiac (Non-Surgical)
ICU - Medical/Surgical
ICU - Neonatal
ICU - Pediatric
ICU - Surgical
Magnetic Resonance Imaging (MRI)
Nuclear Medicine Services
Occupational Therapy Services
Organ Transplant Services
Physical Therapy Services
Positron Emission Tomography Scan
Post-Operative Recovery Rooms
Psychiatric Services - Emergency
Psychiatric - Child Adolescent
Psychiatric - Forensic
Psychiatric - Geriatric
Psychiatric - Inpatient
Psychiatric - Outpatient
Radiology Services Diagnostic
Radiology Services Therapeutic
Respiratory Care Services
Rehab-Inpatient (CARF ACC)
Renal Dialysis (acute Inpatient)
Speech Pathology Services
Surgical Services - Inpatient
Surgical Services - Outpatient
Trauma Center (Certified)
Transplant Center, Medicare Certified
Urgent Care Center Services
The following is the number of staff employed by the hospital to provide patient
care. These numbers are reported to the ISDH by the hospital at the time of a
survey. The number represents the total number of staff at the licensed hospital
and all satellite hospitals, agencies, and services included under the hospital
license. The number is listed in full-time equivalents and does not include
persons contracted by the hospital to perform services.
Staffing as of 01/30/2013
Number of employees (full time equivalents)
Physicians (Salaried Only)
Physicians - Residents
Physicians Assistants (PA)
Nurses - CRNA
Nurses - Practitioners
Nurses - Registered
Nurses - LPN
Medical Social Workers
Medical Laboratory Technicians
Medical Technologists (Lab)
Nuclear Medicine Technicians
Radiology Technologists (Diagnostic)
STATE LICENSURE SURVEYS
The ISDH conducts a state licensure survey at each licensed hospital
approximately once per year. The survey includes the licensed hospital and a
sample of off-site hospitals, agencies, or services operated under the license. If
a hospital is accredited, the hospital may substitute the accreditation survey for
the state licensure on-site survey. In years when an accreditation survey is
performed, there will not be a state licensure survey conducted by the ISDH. If
deficiencies are sited on a survey, the hospital may be requested by the ISDH to
complete a plan of correction on how and when they will correct each deficiency
and who will be responsible to ensure the corrections are made and will not
reoccur in the future. The plan of correction is generally submitted by the
hospital and reviewed by the ISDH within fifteen (15) days of the survey.
The following is a summary of the three most recent state licensure surveys.
Accreditation surveys are not included in the table below.
To read an overview of the survey process, click here
01/30/2013 Most Recent
07/20/2011 2nd Most Recent
05/12/2010 3rd Most Recent
Number of Deficiencies
State Average for the year of the survey (rounded to nearest whole integer.)
Any person may file a complaint with the ISDH about a hospital. The ISDH
investigates all complaints. If in the course of the investigation a violation of
state or federal rules or regulations is found by surveyors, the complaint is said
to be 'substantiated with findings'. If the surveyor verifies the facts of the
complaint but finds that no violation occurred of state rules or federal
regulations, the complaint is said to be 'substantiated without findings'. If
deficiencies are cited on a complaint survey, the hospital may be requested by the
ISDH to complete a plan of correction on how and when they will correct each
deficiency and who will be responsible to ensure the corrections are made and will
not reoccur in the future. The plan of correction is generally submitted by the
hospital and reviewed by the ISDH within fifteen (15) days of the survey.
The following is a summary of the number of substantiated complaint investigations
for the past three years. This only indicates whether the complaint was
substantiated and does not indicate whether the hospital was found in compliance
with state rules or federal regulations. The survey history section below will
show whether or not deficiencies were found on a specific complaint survey.
01/01/2013 to 12/31/2013
01/01/2012 to 12/31/2012
THIRD PARTY REIMBURSEMENT
The hospital accepts Medicare reimbursement and meets the standards that the federal government has set for the provided services.
The hospital accepts Medicaid reimbursement and meets the standards that the Indiana Office of Medicaid Policy and Planning has set for provided services.
HOSPITAL ACCREDITATION STATUS
Indiana hospitals must be licensed by the ISDH. While the ISDH does not
require hospitals to be accredited, many hospitals voluntarily apply for
accreditation from the Joint Commission on Accreditation of Healthcare
Organizations (JCAHO), the American Osteopathic Association (AOA), or
other accreditation organizations. Accreditation surveys are performed
by the accreditation association once every three years.
In order for a hospital to participate in and receive payment from the Medicare
or Medicaid programs, it must be certified as complying with the CMS Conditions
of Participation. The State survey process is the primary method for achieving
certification. However, if a national accrediting organization, such as JCAHO,
has and enforces standards that meet the Federal Conditions of Participation,
CMS may grant the accreditation organization 'deeming' authority, and 'deem'
each accredited hospital as meeting the Medicare and Medicaid certification requirements.
The hospital would have 'deemed status' and would not be subject to additional Medicare
surveys by the State agency. The following chart indicates if this hospital is
accredited and if the hospital accreditation is 'deemed' by CMS and ISDH.
Effective date of accreditation
Expiration date of accreditation
The following is a list of state licensure, accreditation, complaint, and federal
surveys completed at the hospital in the past five years.
The survey report is not posted until the report has been provided to the facility
and their plan of correction submitted and approved, if required.
The survey report therefore will likely not be posted until four to six weeks after the exit date.
In the grid below click on an event ID that is underlined to see the survey report for that event.
CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) HOSPITAL QUALITY ALLIANCE (HQA)
Background on the HQA
The Center for Medicare and Medicaid Services (CMS) Hospital Quality Alliance
(HQA) is a public-private collaboration that collects and reports hospital quality
performance information. This effort is intended to make critical information
about hospital performance accessible to the public and to inform and invigorate
efforts to improve quality. Participating hospitals are voluntarily reporting the
data. The goals are to promote the best medical practices associated with the
targeted clinical disorders, prevent or reduce further instances of these selected
clinical disorders, and prevent related complications.
The HQA identified three medical conditions as a starter set. The three
conditions are acute myocardial infarction (heart attack), heart failure, and
pneumonia. Ten (10) clinical quality measures were then selected to include five
measures on acute myocardial infarction; tow measures on heart failure; and
three measures on pneumonia. Each measure represents a treatment that the
health care provider should follow in treating the condition.
The number of measures and conditions will be expanded in the coming years.
Seven additional measures and one condition will be added in 2005 and five
additional measures will be added in 2006.
Indiana Hospital Quality Alliance Data
The following will link you to the Hospital Quality Alliance data for Indiana
hospitals. CMS updates the Hospital Quality Alliance data quarterly. Upon
receipt of updates from CMS, the data is processed and integrated into the ISDH
Hospital Consumer Report. The report will state the time period covered by the
data. Not all hospitals have reported data to CMS. Additional hospitals have
submitted data that is currently being processed by CMS and will be included on
future updates. Psychiatric, children's, rehabilitation hospital, and critical
access hospitals are generally not included in the data collection.
Click here for the HQA report for this hospital.
Click here to go to the CMS Hospital Quality Initiative Website.