APPENDIX A SUMMARY OF FACILITIES REPORTING EVENTS FOR … · SUMMARY OF FACILITIES REPORTING EVENTS...

Appendix 1

APPENDIX A SUMMARY OF FACILITIES REPORTING EVENTS FOR 2011

Hospitals (48) Reported Events

Inpatient Discharges*

Outpatient Visits*

Procedures*

IU Health (Univ., Methodist, Riley) (Indpls) 14 58,348 176,942 63,942 Methodist (Gary) 6 18,449 52,997 13,030 St. Vincent (Indianapolis) 6 37,038 157,653 61,938 Union (Terre Haute) 4 18,032 70,521 29,589 Columbus (Columbus) 3 9,965 10,845 12,765 Deaconess (Evansville) 3 25,264 92,483 37,209 IU Health West (Avon) 3 8,203 47,418 8,384 Kindred South (Greenwood) 3 667 0 268 Marion (Marion) 3 5,327 41,716 5,804 St. Mary’s (Evansville) 3 19,236 80,679 35,426 Floyd (New Albany) 2 15,014 47,141 16,809 Henry (Henry) 2 3,181 32,384 8,838 IU Health Ball Memorial (Muncie) 2 18,170 57,346 12,930 Kindred (Indianapolis) 2 471 0 194 Memorial (Jasper) 2 7,397 41,313 15,909 Memorial (South Bend) 2 22,392 76,130 29,747 St. John’s (Anderson) 2 7,972 65,237 18,147 Wishard (Indianapolis) 2 18,714 143,845 14,184 Adams Memorial (Decatur) 1 2,003 15,151 3,524 Community East (Indianapolis) 1 12,660 81,055 28,904 Community North (Indianapolis) 1 18,650 78,937 39,123 Dearborn (Lawrenceburg) 1 4,803 24,175 9,607 Decatur (Greensburg) 1 1,372 16,271 2,985 Dupont (Fort Wayne) 1 7,005 28,938 14,796 Elkhart (Elkhart) 1 13,941 56,342 15,322 Franciscan St. Elizabeth Central (Lafayette) 1 3,404 34,181 3,016 Franciscan St. Elizabeth East (Lafayette) 1 10,539 43,171 15,741 Franciscan St. Francis (Mooresville) 1 4,169 35,169 5,615 Franciscan St. Margaret (Dyer) 1 8,497 29,463 8,653 Howard Regional (Kokomo) 1 4,754 32,102 7,071 Howard Regional West (Kokomo) 1 595 506 0 IU Health Arnett (Lafayette) 1 9,351 40,144 17,619 IU Health Bedford (Bedford) 1 1,306 17,073 3,561 IU Health Laporte (Laporte) 1 5,795 24,451 8,997 IU Health North (Carmel) 1 11,047 25,863 14,661 Johnson (Franklin) 1 2,724 27,828 5,665 King’s Daughters’ (Madison) 1 3,426 23,541 7,052 Lutheran (Fort Wayne) 1 19,306 70,979 34,105 Parkview (Fort Wayne) 1 28,615 110,598 39,272 Putnam (Greencastle) 1 1,151 14,344 2,177 Rehabilitation (Indianapolis) 1 1,490 0 11 Reid (Richmond) 1 12,148 64,005 20,951 St. Catherine (East Chicago) 1 8,741 33,330 6,887 St. Joseph (Fort Wayne) 1 5,385 28,772 7,185 St. Joseph (Mishawaka) 1 15,477 65,431 19,936 St. Vincent Carmel (Carmel) 1 5,456 28,533 18,181 St. Vincent Heart (Indianapolis) 1 5,312 4,522 5,910 Westview (Indianapolis) 1 1,860 12,966 5,096 Total Reported Events in Hospitals 94 * Explanation of these terms is found on page Appendix 3.

Appendix 2

Ambulatory Surgery Centers (5) Reported Events Procedures Indiana Surgery Center (Kokomo) 2 4,279 Advanced Surgery Center (Lafayette) 1 2,927 Evansville Surgery/Deaconess (Evansville) 1 3,968 Grossnickle Eye Center (Warsaw) 1 7,094 Premier Surgery Center (Fort Wayne) 1 3,877 Total Reported Events in Ambulatory Surgery Centers 6 Total Reported Events (All Entities) 100

Appendix 3

Appendix B

The data tables for individual hospitals found in Appendix B provide the number of inpatient discharges, the number of outpatient visits, and the number of procedures performed by each hospital. This data is provided for the purpose of comparison of how many individuals seek medical services and how many surgical procedures are performed by each hospital in relation to the number of reported events. This data is required to be reported to the Indiana State Department of Health by hospitals no later than 120 days after the end of each calendar quarter. The Indiana Hospital Association is the contractor that collects the data from each hospital. They perform quality checks and report the data to the Indiana State Department of Health in a standardized format. Appendix B reflects the number of inpatient discharges, the number of outpatient visits, and the number of procedures performed by each hospital reported for the calendar year 2011 by hospitals as of July, 2012. In order to eliminate mistakes in the report and give facilities the opportunity to review their data for accuracy, the ISDH sent to each facility their final report for 2011. The report was sent in June 2012. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH. In July 2012, the ISDH contacted all facilities that had not returned their verification form to request that the form be returned. The report for each facility reflects whether the data was verified by the facility.

HOSPITAL DATA Data Category Definition Total Number Reported

Inpatient Discharges

Inpatient Discharge means the discharge of an individual who had been admitted to the hospital as an inpatient. It does not include hospice, skilled nursing facility and observation patients.

805,943

Outpatient Visit Outpatient Visit refers to a visit to a facility for the purpose of emergency services, outpatient surgery, occupation and physical therapy/rehabilitation, cardiac diagnostic and treatment procedures, or psychiatric and social services. These classifications are based on selected billing or diagnosis codes.

3,972,170

Procedures Procedure includes any surgical procedure coded “00.30” to “86.99” inclusive in the principal procedure field as reported by the hospital for both inpatient discharges and outpatient visits.

1,247,933

Appendix 4

APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2011

Adams Memorial Hospital Adams County 1100 Mercer Avenue 2011 Inpatient Discharges: 2,003 Decatur, IN 46733 2011 Outpatient Visits: 15,151 2011 Procedures: 3,524

Reportable Event Number Reported Totals

SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0

PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0

PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0

CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg. 0

ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0

CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0

TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1

Appendix 5


Dupont Hospital Allen County 2520 East Dupont Road 2011 Inpatient Discharges: 7,005 Fort Wayne, IN 46825 2011 Outpatient Visits: 28,938 2011 Procedures: 14,796









Appendix 6

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Lutheran Hospital Allen County 7950 West Jefferson Blvd 2011 Inpatient Discharges: 19,306 Fort Wayne, IN 46804 2011 Outpatient Visits: 70,979 2011 Procedures: 34,105









Appendix 7


Orthopaedic Hospital of Lutheran Health Allen County 7952 West Jefferson Blvd 2011 Inpatient Discharges: 2,013 Fort Wayne, IN 46804 2011 Outpatient Visits: 12,419 2011 Procedures: 8,880








TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0

Appendix 8


Orthopaedic Hospital at Parkview North Allen County 11130 Parkview Circle Drive 2011 Inpatient Discharges: 1,682 Fort Wayne, IN 46845 2011 Outpatient Visits: 1,804 2011 Procedures: 3,474









Appendix 9


Parkview Regional Medical Center Allen County 11109 Parkview Plaza Drive 2011 Inpatient Discharges: 28,615 Fort Wayne, IN 46805 2011 Outpatient Visits: 110,598 2011 Procedures: 39,272









Appendix 10


Rehabilitation Hospital of Fort Wayne Allen County 7970 West Jefferson Blvd 2011 Inpatient Discharges: 525 Fort Wayne, IN 46804 2011 Outpatient Visits: 40 2011 Procedures: 0









Appendix 11


Select Specialty Hospital - Fort Wayne Allen County 700 Broadway 2011 Inpatient Discharges: No Report Fort Wayne, IN 46802 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 12


St. Joseph Hospital Allen County 700 Broadway 2011 Inpatient Discharges: 5,385 Fort Wayne, IN 46802 2011 Outpatient Visits: 28,772 2011 Procedures: 7,185









Appendix 13


Vibra Hospital of Fort Wayne Allen County 2626 Fairfield Ave. 2011 Inpatient Discharges: No Report Fort Wayne, IN 46807 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 14


Columbus Regional Hospital Bartholomew County 2400 East 17th Street 2011 Inpatient Discharges: 9,965 Columbus, IN 47201 2011 Outpatient Visits: 10,845 2011 Procedures: 12,765









Appendix 15


Indiana University Health Blackford Hospital Blackford County 410 Pilgrim Blvd 2011 Inpatient Discharges: 506 Hartford City, IN 47348 2011 Outpatient Visits: 10,458 2011 Procedures: 433









Appendix 16


Witham Hospital Boone County 2605 North Lebanon Street 2011 Inpatient Discharges: 2,469 Lebanon, IN 46052 2011 Outpatient Visits: 22,809 2011 Procedures: 6,369









Appendix 17


Memorial Hospital Cass County 1101 Michigan Avenue 2011 Inpatient Discharges: 2,417 Logansport, IN 46947 2011 Outpatient Visits: 20,817 2011 Procedures: 5,271









Appendix 18


Clark Memorial Hospital Clark County 1220 Missouri Avenue 2011 Inpatient Discharges: 15,986 Jeffersonville, IN 47130 2011 Outpatient Visits: 44,722 2011 Procedures: 18,836









Appendix 19


Kentuckiana Medical Center Clark County 4601 Medical Plaza Way 2011 Inpatient Discharges: No Report Clarksville, IN 47129 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 20


St. Catherine Regional Hospital Clark County 2200 Market Street 2011 Inpatient Discharges: 1,371 Charlestown, IN 47111 2011 Outpatient Visits: 6,004 2011 Procedures: 972









Appendix 21


St. Vincent Clay Hospital Clay County 1206 East National Avenue 2011 Inpatient Discharges: 736 Brazil, IN 47834 2011 Outpatient Visits: 17,771 2011 Procedures: 1,773









Appendix 22


St. Vincent Frankfort Hospital Clinton County 1300 South Jackson Street 2011 Inpatient Discharges: 1,042 Frankfort, IN 46041 2011 Outpatient Visits: 13,822 2011 Procedures: 1,964









Appendix 23


Daviess Community Hospital Daviess County 1314 East Walnut Street 2011 Inpatient Discharges: 2,978 Washington, IN 47501 2011 Outpatient Visits: 15,142 2011 Procedures: 3,679









Appendix 24


Dearborn County Hospital Dearborn County 600 Wilson Creek Road 2011 Inpatient Discharges: 4,803 Lawrenceburg, IN 47025 2011 Outpatient Visits: 24,175 2011 Procedures: 9,607









Appendix 25


Decatur County Memorial Hospital Decatur County 720 North Lincoln Street 2011 Inpatient Discharges: 1,372 Greensburg, IN 47240 2011 Outpatient Visits: 16,271 2011 Procedures: 2,985









Appendix 26

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Dekalb Memorial Hospital Dekalb County 1316 East Seventh Street 2011 Inpatient Discharges: 2,318 Auburn, IN 46706 2011 Outpatient Visits: 16,673 2011 Procedures: 4,742









Appendix 27

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Indiana University Health Ball Memorial Hospital Delaware County 2401 University Avenue 2011 Inpatient Discharges: 18,170 Muncie, IN 47303 2011 Outpatient Visits: 57,346 2011 Procedures: 12,930









Appendix 28

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Integra Specialty Hospital Delaware County 2401 West University Ave., 8th Floor 2011 Inpatient Discharges: No Report Muncie, IN 47303 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 29


Memorial Hospital & Health Care Center Dubois County 800 West 9th Street 2011 Inpatient Discharges: 7,397 Jasper, IN 47546 2011 Outpatient Visits: 41,313 2011 Procedures: 15,909









Appendix 30


Elkhart General Hospital Elkhart County 600 East Blvd 2011 Inpatient Discharges: 13,941 Elkhart, IN 46514 2011 Outpatient Visits: 56,342 2011 Procedures: 15,322









Appendix 31


IU Health Goshen Hospital Elkhart County 200 High Park Avenue 2011 Inpatient Discharges: 5,639 Goshen, IN 46526 2011 Outpatient Visits: 37,427 2011 Procedures: 10,823









Appendix 32


Fayette Memorial Hospital Fayette County 1941 Virginia Avenue 2011 Inpatient Discharges: 2,265 Connersville, IN 47331 2011 Outpatient Visits: 17,705 2011 Procedures: 1,979









Appendix 33


Floyd Memorial Hospital & Health Services Floyd County 1850 State Street 2011 Inpatient Discharges: 15,014 New Albany, IN 47150 2011 Outpatient Visits: 47,141 2011 Procedures: 16,809









Appendix 34


Physicians’ Medical Center Floyd County 4023 Reas Lane 2011 Inpatient Discharges: No Report New Albany, IN 47150 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 35


Southern Indiana Rehabilitation Hospital Floyd County 3104 Blackiston Blvd 2011 Inpatient Discharges: No Report New Albany, IN 47150 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 36


Woodlawn Hospital Fulton County 1400 East 9th Street 2011 Inpatient Discharges: 1,178 Rochester, IN 46975 2011 Outpatient Visits: 9,474 2011 Procedures: 2,120









Appendix 37


Gibson General Hospital Gibson County 1808 Sherman Drive 2011 Inpatient Discharges: 755 Princeton, IN 47670 2011 Outpatient Visits: 16,237 2011 Procedures: 1,941









Appendix 38


Marion General Hospital Grant County 441 North Wabash Avenue 2011 Inpatient Discharges: 5,327 Marion, IN 46952 2011 Outpatient Visits: 41,716 2011 Procedures: 5,804









Appendix 39


Greene County General Hospital Greene County 1185 N 1000 W 2011 Inpatient Discharges: 954 Linton, IN 47441 2011 Outpatient Visits: 8,033 2011 Procedures: 1,298









Appendix 40


Indiana University Health North Hospital Hamilton County 11700 North Meridian Street 2011 Inpatient Discharges: 11,047 Carmel, IN 46032 2011 Outpatient Visits: 25,863 2011 Procedures: 14,661









Appendix 41


Riverview Hospital Hamilton County 395 Westfield Drive 2011 Inpatient Discharges: 5,236 Noblesville, IN 46060 2011 Outpatient Visits: 40,405 2011 Procedures: 11,510









Appendix 42


St. Vincent Carmel Hospital Hamilton County 13500 North Meridian Street 2011 Inpatient Discharges: 5,456 Carmel, IN 46032 2011 Outpatient Visits: 28,533 2011 Procedures: 18,181









Appendix 43


St. Vincent Heart Center of Indiana Hamilton County 10580 North Meridian Street 2011 Inpatient Discharges: 5,312 Indianapolis, IN 46290 2011 Outpatient Visits: 4,522 2011 Procedures: 5,910









Appendix 44


Hancock Regional Hospital Hancock County 801 North State Street 2011 Inpatient Discharges: 3,519 Greenfield, IN 46140 2011 Outpatient Visits: 26,980 2011 Procedures: 8,183









Appendix 45


Harrison County Hospital Harrison County 1141 Hospital Drive NW 2011 Inpatient Discharges: 1,616 Corydon, IN 47112 2011 Outpatient Visits: 15,618 2011 Procedures: 2,319









Appendix 46


Hendricks Regional Health Hendricks County 1000 East Main Street 2011 Inpatient Discharges: 6,563 Danville, IN 46122 2011 Outpatient Visits: 42,596 2011 Procedures: 15,973

Reportable Event Number

Reported Totals








Appendix 47


IU Health West Hospital Hendricks County 111 North Ronald Reagan Parkway 2011 Inpatient Discharges: 8,203 Avon, IN 46123 2011 Outpatient Visits: 47,418 2011 Procedures: 8,384









Appendix 48


Henry County Memorial Hospital Henry County 1000 North 16th Street 2011 Inpatient Discharges: 3,181 New Castle, IN 47362 2011 Outpatient Visits: 32,384 2011 Procedures: 8,838









Appendix 49


Howard Regional Health System Howard County 3500 South Lafountain Street 2011 Inpatient Discharges: 4,754 Kokomo, IN 46904 2011 Outpatient Visits: 32,102 2011 Procedures: 7,071


Reported Totals








Appendix 50


Howard Regional Health System Howard County West Campus Specialty Hospital 2011 Inpatient Discharges: 595 829 North Dixon Road 2011 Outpatient Visits: 506 Kokomo, IN 46901 2011 Procedures: 0


Reported Totals








Appendix 51


St. Joseph Hospital & Health Center Howard County 1907 West Sycamore Street 2011 Inpatient Discharges: 5,626 Kokomo, IN 46901 2011 Outpatient Visits: 30,474 2011 Procedures: 10,947









Appendix 52


Parkview Huntington Hospital Huntington County 2001 Stults Road 2011 Inpatient Discharges: 2,280 Huntington, IN 46750 2011 Outpatient Visits: 19,307 2011 Procedures: 4,122


Reported Totals




CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg.




Appendix 53


Schneck Medical Center Jackson County 411 West Tipton Street 2011 Inpatient Discharges: 4,209 Seymour, IN 47274 2011 Outpatient Visits: 34,564 2011 Procedures: 10,477


Reported Totals








Appendix 54


Jasper County Hospital Jasper County 1104 East Grace Street 2011 Inpatient Discharges: 1,126 Rensselaer, IN 47978 2011 Outpatient Visits: 2,418 2011 Procedures: 2,710









Appendix 55


Jay County Hospital Jay County 500 West Votaw Street 2011 Inpatient Discharges: 1,190 Portland, IN 47371 2011 Outpatient Visits: 11,159 2011 Procedures: 1,682









Appendix 56


King’s Daughters Hospital and Health Center Jefferson County One King’s Daughters Drive 2011 Inpatient Discharges: 3,426 Madison, IN 47250 2011 Outpatient Visits: 23,541 2011 Procedures: 7,052









Appendix 57


St. Vincent Jennings Hospital Jennings County 301 Henry Street 2011 Inpatient Discharges: 410 North Vernon, IN 47265 2011 Outpatient Visits: 12,991 2011 Procedures: 653


Reported Totals








Appendix 58


Johnson Memorial Hospital Johnson County 1125 West Jefferson Street 2011 Inpatient Discharges: 2,724 Franklin, IN 46131 2011 Outpatient Visits: 27,828 2011 Procedures: 5,665









Appendix 59


Kindred Hospital – South Johnson County 607 South Greenwood Springs Dr. 2011 Inpatient Discharges: 667 Greenwood, IN 46143 2011 Outpatient Visits: 0 2011 Procedures: 268


Reported Totals








Appendix 60


Select Specialty Hospital – Indianapolis Johnson County 898 East Main Street 2011 Inpatient Discharges: No Report Greenwood, IN 46143 2011 Outpatient Visits: No Report 2011 Procedures: No Report

Closed March 18, 2011









Appendix 61


Good Samaritan Hospital Knox County 520 South 7th Street 2011 Inpatient Discharges: 8,143 Vincennes, IN 47591 2011 Outpatient Visits: 45,090 2011 Procedures: 12,837


Reported Totals








Appendix 62


Kosciusko Community Hospital Kosciusko County 2101 East Dubois Avenue 2011 Inpatient Discharges: 4,681 Warsaw, IN 46580 2011 Outpatient Visits: 30,928 2011 Procedures: 7,710


Reported Totals








Appendix 63


Parkview Lagrange Hospital Lagrange County 207 North Townline Road 2011 Inpatient Discharges: 1,374 Lagrange, IN 46761 2011 Outpatient Visits: 10,804 2011 Procedures: 2,185









Appendix 64


Community Hospital Lake County 901 MacArthur Blvd. 2011 Inpatient Discharges: 23,966 Munster, IN 46321 2011 Outpatient Visits: 76,076 2011 Procedures: 31,375


Reported Totals








Appendix 65


Franciscan Physicians Hospital Lake County 701 Superior Avenue 2011 Inpatient Discharges: 894 Munster, IN 46321 2011 Outpatient Visits: 5,441 2011 Procedures: 5,542


Reported Totals








Appendix 66


Franciscan St. Anthony Health Lake County 1201 South Main Street 2011 Inpatient Discharges: 11,828 Crown Point, IN 46307 2011 Outpatient Visits: 49,930 2011 Procedures: 14,284









Appendix 67


Franciscan St. Margaret Health - Dyer Lake County 24 Joliet Street 2011 Inpatient Discharges: 8,497 Dyer, IN 46311 2011 Outpatient Visits: 29,463 2011 Procedures: 8,653









Appendix 68


Franciscan St. Margaret Health - Hammond Lake County 5454 Hohman Avenue 2011 Inpatient Discharges: 8,492 Hammond, IN 46320 2011 Outpatient Visits: 39,803 2011 Procedures: 9,160









Appendix 69


Hind General Hospital Lake County 101 West 61st Avenue 2011 Inpatient Discharges: 113 Hobart, IN 46342 2011 Outpatient Visits: 519 2011 Procedures: 632









Appendix 70


Kindred Hospital – Northwest Indiana Lake County 5454 Hohman Avenue 2011 Inpatient Discharges: No Report Hammond, IN 46325 2011 Outpatient Visits: No Report 2011 Procedures: No Report


Reported Totals








Appendix 71


Methodist Hospital Lake County 600 Grant Street 2011 Inpatient Discharges: 18,449 Gary, IN 46402 2011 Outpatient Visits: 52,997 2011 Procedures: 13,030


Reported Totals








Appendix 72


Pinnacle Hospital Lake County 9301 Connecticut 2011 Inpatient Discharges: No Report Crown Point, IN 46307 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 73

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Progressive Hospital of Merrillville Lake County 9509 Georgia Street 2011 Inpatient Discharges: No Report Crown Point, IN 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 74


Regency Hospital of Northwest Indiana Lake County 4321 Fir Street, 4th Floor 2011 Inpatient Discharges: No Report East Chicago, IN 46312 2011 Outpatient Visits: No Report 2011 Procedures: No Report


Reported Totals








Appendix 75


St. Catherine Hospital Lake County 4321 Fir Street 2011 Inpatient Discharges: 8,741 East Chicago, IN 46312 2011 Outpatient Visits: 33,330 2011 Procedures: 6,887









Appendix 76


St. Mary’s Medical Center Lake County 1500 South Lake Park Avenue 2011 Inpatient Discharges: 11,339 Hobart, IN 46342 2011 Outpatient Visits: 46,015 2011 Procedures: 15,579


Reported Totals








Appendix 77


Surgical Hospital of Munster Lake County 7847 Calumet Avenue 2011 Inpatient Discharges: No Report Munster, IN 2011 Outpatient Visits: No Report 2011 Procedures: No Report

Closed April 13, 2011









Appendix 78


Vibra Hospital of Northwestern Indiana Lake County 9509 Georgia Street 2011 Inpatient Discharges: No Report Crown Point, IN 46307 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 79


Franciscan St. Anthony Health Laporte County 301 West Homer Street 2011 Inpatient Discharges: 7,715 Michigan City, IN 46360 2011 Outpatient Visits: 24,451 2011 Procedures: 15,389


Reported Totals








Appendix 80


Indiana University Health Laporte Hospital Laporte County 1007 Lincolnway 2011 Inpatient Discharges: 5,795 Laporte, IN 46350 2011 Outpatient Visits: 24,451 2011 Procedures: 8,997


Reported Totals








Appendix 81

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Indiana University Health Bedford Hospital Lawrence County 2900 West 16th Street 2011 Inpatient Discharges: 1,306 Bedford, IN 47421 2011 Outpatient Visits: 17,073 2011 Procedures: 3,561


Reported Totals








Appendix 82

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 St. Vincent Dunn Hospital Lawrence County 1600 23rd Street 2011 Inpatient Discharges: 1,662 Bedford, IN 47421 2011 Outpatient Visits: 13,096 2011 Procedures: 3,070


Reported Totals








Appendix 83

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Community Hosp. of Anderson & Madison Co Madison County 1515 North Madison Avenue 2011 Inpatient Discharges: 7,042 Anderson, IN 46011 2011 Outpatient Visits: 40,910 2011 Procedures: 13,669


Reported Totals








Appendix 84

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 St. John’s Health System Madison County 2015 Jackson Street 2011 Inpatient Discharges: 7,972 Anderson, IN 46016 2011 Outpatient Visits: 65,237 2011 Procedures: 18,147


Reported Totals








Appendix 85

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 St. Vincent Mercy Hospital Madison County 1331 South A Street 2011 Inpatient Discharges: 552 Elwood, IN 46036 2011 Outpatient Visits: 14,196 2011 Procedures: 1,040









Appendix 86

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Community Hospital East Marion County 1500 North Ritter Avenue 2011 Inpatient Discharges: 12,660 Indianapolis, IN 46219 2011 Outpatient Visits: 81,055 2011 Procedures: 28,904









Appendix 87


Community Hospital North Marion County 7150 Clearvista Drive 2011 Inpatient Discharges: 18,650 Indianapolis, IN 46256 2011 Outpatient Visits: 78,937 2011 Procedures: 39,123


Reported Totals








Appendix 88


Community Hospital South Marion County 1402 East County Line Road South 2011 Inpatient Discharges: 9,069 Indianapolis, IN 46227 2011 Outpatient Visits: 49,821 2011 Procedures: 22,200


Reported Totals








Appendix 89


Franciscan St. Francis Health - Beech Grove Marion County 1600 Albany Street 2011 Inpatient Discharges: 9,159 Beech Grove, IN 46107 2011 Outpatient Visits: 52,278 2011 Procedures: 10,390









Appendix 90


Franciscan St. Francis Health - Indianapolis Marion County 8111 South Emerson Avenue 2011 Inpatient Discharges: 12,297 Indianapolis, IN 46237 2011 Outpatient Visits: 87,041 2011 Procedures: 23,024


Reported Totals








Appendix 91


Indiana Heart Hospital Marion County 8075 North Shadeland Avenue 2011 Inpatient Discharges: 3,476 Indianapolis, IN 46250 2011 Outpatient Visits: 19,705 2011 Procedures: 4,554


Reported Totals








Appendix 92


Indiana Orthopaedic Hospital Marion County 8400 Northwest Blvd 2011 Inpatient Discharges: 2,312 Indianapolis, IN 46278 2011 Outpatient Visits: 13,348 2011 Procedures: 15,641









Appendix 93


Indiana University Health Marion County (Methodist, IU, Riley Hospitals) 2011 Inpatient Discharges: 58,348 1701 North Senate Blvd. 2011 Outpatient Visits: 176,942 Indianapolis, IN 46206 2011 Procedures: 63,942


Reported Totals








Appendix 94


Kindred Hospital - Indianapolis Marion County 1700 West 10th Street 2011 Inpatient Discharges: 471 Indianapolis, IN 46222 2011 Outpatient Visits: 0 2011 Procedures: 194


Reported Totals








Appendix 95


Rehabilitation Hospital of Indiana Marion County 4141 Shore Drive 2011 Inpatient Discharges: 1,490 Indianapolis, IN 46254 2011 Outpatient Visits: 0 2011 Procedures: 11









Appendix 96


Select Specialty Hospital - Beech Grove Marion County 1600 Albany Street, Suite 200 2011 Inpatient Discharges: No Report Beech Grove, IN 46107 2011 Outpatient Visits: No Report 2011 Procedures: No Report


Reported Totals








Appendix 97


St. Vincent Hospital & Health Services Marion County 2001 West 86th Street 2011 Inpatient Discharges: 37,038 Indianapolis, IN 46260 2011 Outpatient Visits: 157,653 2011 Procedures: 61,938


Reported Totals








Appendix 98


St. Vincent Seton Specialty Hospital Marion County 8050 Township Line Road 2011 Inpatient Discharges: No Report Indianapolis, IN 46260 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 99


Westview Hospital Marion County 3630 Guion Road 2011 Inpatient Discharges: 1,860 Indianapolis, IN 46222 2011 Outpatient Visits: 12,966 2011 Procedures: 5,096









Appendix 100


William N. Wishard Memorial Hospital Marion County 1001 West 10th Street 2011 Inpatient Discharges: 18,714 Indianapolis, IN 46202 2011 Outpatient Visits: 143,845 2011 Procedures: 14,184









Appendix 101


Community Hospital of Bremen Marshall County 1020 High Road 2011 Inpatient Discharges: 475 Bremen, IN 46506 2011 Outpatient Visits: 8,032 2011 Procedures: 1,512









Appendix 102


Doctors Hospital Marshall County 411 South Whitlock Street 2011 Inpatient Discharges: No Report Bremen, IN 46506 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 103


St. Joseph’s Regional Medical Center Marshall County 1915 Lake Avenue 2011 Inpatient Discharges: 2,625 Plymouth, IN 46563 2011 Outpatient Visits: 20,376 2011 Procedures: 5,239









Appendix 104


Dukes Memorial Hospital Miami County 275 West 12th Street 2011 Inpatient Discharges: 1,653 Peru, IN 46970 2011 Outpatient Visits: 13,775 2011 Procedures: 2,459


Reported Totals








Appendix 105


Indiana University Health Bloomington Hospital Monroe County 601 West Second Street 2011 Inpatient Discharges: 14,986 Bloomington, IN 47403 2011 Outpatient Visits: 65,068 2011 Procedures: 18,129









Appendix 106


Monroe Hospital Monroe County 4011 S. Monroe Medical Park Blvd. 2011 Inpatient Discharges: 1,240 Bloomington, IN 47403 2011 Outpatient Visits: 15,544 2011 Procedures: 4,048









Appendix 107


Franciscan St. Elizabeth Health-Crawfordsville Montgomery County 1710 Lafayette Road 2011 Inpatient Discharges: 1,556 Crawfordsville, IN 47933 2011 Outpatient Visits: 26,271 2011 Procedures: 5,601









Appendix 108


Franciscan St. Francis Health - Mooresville Morgan County 1201 Hadley Road 2011 Inpatient Discharges: 4,169 Mooresville, IN 46158 2011 Outpatient Visits: 35,169 2011 Procedures: 5,615


Reported Totals








Appendix 109


Indiana University Health Morgan Hospital Morgan County 2209 John R Wooden Drive 2011 Inpatient Discharges: 1,840 Martinsville, IN 46151 2011 Outpatient Visits: 19,616 2011 Procedures: 3,850









Appendix 110

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Parkview Noble Hospital Noble County 401 Sawyer Road 2011 Inpatient Discharges: 2,142 Kendallville, IN 46755 2011 Outpatient Visits: 23,731 2011 Procedures: 3,735


Reported Totals








Appendix 111

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Indiana University Health Paoli Hospital Orange County 642 West Hospital Road 2011 Inpatient Discharges: 598 Paoli, IN 47454 2011 Outpatient Visits: 12,761 2011 Procedures: 1,909









Appendix 112

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Perry County Memorial Hospital Perry County One Hospital Road 2011 Inpatient Discharges: 1,381 Tell City, IN 47586 2011 Outpatient Visits: 15,316 2011 Procedures: 2,143









Appendix 113

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Porter Valparaiso Hospital Porter County 814 Laporte Avenue 2011 Inpatient Discharges: 13,469 Valparaiso, IN 46383 2011 Outpatient Visits: 67,075 2011 Procedures: 24,711


Reported Totals








Appendix 114

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Pulaski Memorial Hospital Pulaski County 616 East 13th Street 2011 Inpatient Discharges: 648 Winamac, IN 46996 2011 Outpatient Visits: 6,030 2011 Procedures: 1,156


Reported Totals








Appendix 115

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Putnam County Hospital Putnam County 1542 Bloomington Street 2011 Inpatient Discharges: 1,151 Greencastle, IN 46135 2011 Outpatient Visits: 14,344 2011 Procedures: 2,177


Reported Totals








Appendix 116

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 St. Vincent Randolph Hospital Randolph County 473 Greenville Avenue 2011 Inpatient Discharges: 1,460 Winchester, IN 47394 2011 Outpatient Visits: 17,080 2011 Procedures: 1,953


Reported Totals








Appendix 117

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Margaret Mary Community Hospital Ripley County 321 Mitchell Avenue 2011 Inpatient Discharges: 1,967 Batesville, IN 47006 2011 Outpatient Visits: 17,746 2011 Procedures: 5,699


Reported Totals








Appendix 118

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 Rush Memorial Hospital Rush County 1300 North Main Street 2011 Inpatient Discharges: 477 Rushville, IN 46173 2011 Outpatient Visits: 12,173 2011 Procedures: 1,484


Reported Totals








Appendix 119

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2011 A Rosie Place St. Joseph County 53131 Quince Road 2011 Inpatient Discharges: No Report South Bend, IN 46628 2011 Outpatient Visits: No Report 2011 Procedures: No Report


Reported Totals








Appendix 120


Cancer Care Partners, LLC St. Joseph County 301 E. Day Road, Suite 300 2011 Inpatient Discharges: No Report Mishawaka, IN 46545 2011 Outpatient Visits: No Report 2011 Procedures: No Report


Reported Totals








Appendix 121


Kindred Hospital of Northern Indiana St. Joseph County 215 W. 4th Street, Suite 200 2011 Inpatient Discharges: 410 Mishawaka, IN 46544 2011 Outpatient Visits: 0 2011 Procedures: 11


Reported Totals








Appendix 122


Memorial Hospital of South Bend St. Joseph County 615 North Michigan Street 2011 Inpatient Discharges: 22,392 South Bend, IN 46601 2011 Outpatient Visits: 76,130 2011 Procedures: 29,747


Reported Totals








Appendix 123


Rivercrest Specialty Hospital St. Joseph County 1625 East Jefferson Road 2011 Inpatient Discharges: No Report Mishawaka, IN 46545 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 124


St. Joseph Regional Medical Center St. Joseph County 5215 Holy Cross Parkway 2011 Inpatient Discharges: 15,477 Mishawaka, IN 46545 2011 Outpatient Visits: 65,431

2011 Procedures: 19,936









Appendix 125


Unity Medical and Surgical Hospital St. Joseph County 4455 Edison Lakes Parkway 2011 Inpatient Discharges: No Report Mishawaka, IN 46545 2011 Outpatient Visits: No Report

2011 Procedures: No Report









Appendix 126


Scott County Memorial Hospital Scott County 1451 North Gardner 2011 Inpatient Discharges: 992 Scottsburg, IN 47170 2011 Outpatient Visits: 15,059 2011 Procedures: 2,176


Reported Totals








Appendix 127


Major Hospital Shelby County 150 West Washington Street 2011 Inpatient Discharges: 3,038 Shelbyville, IN 46176 2011 Outpatient Visits: 28,647 2011 Procedures: 6,099


Reported Totals








Appendix 128


Indiana University Health Starke Hospital Starke County 102 East Culver Road 2011 Inpatient Discharges: 774 Knox, IN 46534 2011 Outpatient Visits: 8,783 2011 Procedures: 1,847


Reported Totals








Appendix 129


Cameron Memorial Community Hospital Steuben County 416 East Maumee Street 2011 Inpatient Discharges: 1,139 Angola, IN 46703 2011 Outpatient Visits: 16,682 2011 Procedures: 3,795









Appendix 130


Sullivan County Community Hospital Sullivan County 2200 North Section Street 2011 Inpatient Discharges: 1,063 Sullivan, IN 47882 2011 Outpatient Visits: 11,058 2011 Procedures: 1,667


Reported Totals








Appendix 131


Franciscan St. Elizabeth Health – Lafayette Central Tippecanoe County 1501 Hartford Street 2011 Inpatient Discharges: 3,404 Lafayette, IN 47904 2011 Outpatient Visits: 34,181 2011 Procedures: 3,016









Appendix 132


Franciscan St. Elizabeth Health – Lafayette East Tippecanoe County 2400 South Street 2011 Inpatient Discharges: 10,539 Lafayette, IN 47904 2011 Outpatient Visits: 43,171 2011 Procedures: 15,741









Appendix 133


Indiana University Health Arnett Hospital Tippecanoe County 5165 McCarty Lane 2011 Inpatient Discharges: 9,351 Lafayette, IN 47905 2011 Outpatient Visits: 40,144 2011 Procedures: 17,619


Reported Totals








Appendix 134


St. Vincent Seton Specialty Hospital Tippecanoe County 1501 Hartford Street 2011 Inpatient Discharges: No Report Lafayette, IN 47904 2011 Outpatient Visits: No Report 2011 Procedures: No Report


Reported Totals








Appendix 135


Indiana University Health Tipton Hospital Tipton County 1000 South Main Street 2011 Inpatient Discharges: 1,119 Tipton, IN 46072 2011 Outpatient Visits: 9,191 2011 Procedures: 2,637


Reported Totals








Appendix 136


Deaconess Hospital (incl. Cross Pointe & Gateway) Vanderburgh County 600 Mary Street 2011 Inpatient Discharges: 25,264 Evansville, IN 47747 2011 Outpatient Visits: 92,483 2011 Procedures: 37,209









Appendix 137


Healthsouth Deaconess Rehabilitation Hospital Vanderburgh County 4100 Covert Avenue 2011 Inpatient Discharges: 1,469 Evansville, IN 47714 2011 Outpatient Visits: 0 2011 Procedures: 20


Reported Totals








Appendix 138


Select Specialty Hospital - Evansville Vanderburgh County 400 SE 4th Street 2011 Inpatient Discharges: No Report Evansville, IN 47713 2011 Outpatient Visits: No Report 2011 Procedures: No Report









Appendix 139


St. Mary’s Medical Center Vanderburgh County 3700 Washington Avenue 2011 Inpatient Discharges: 19,236 Evansville, IN 47750 2011 Outpatient Visits: 80,679 2011 Procedures: 35,426


Reported Totals








Appendix 140


Union Hospital – Clinton Vermillion County 801 South Main Street 2011 Inpatient Discharges: 1,241 Clinton, IN 47842 2011 Outpatient Visits: 13,467 2011 Procedures: 1,479


Reported Totals








Appendix 141


Terre Haute Regional Hospital Vigo County 3901 South Seventh Street 2011 Inpatient Discharges: 6,798 Terre Haute, IN 47802 2011 Outpatient Visits: 29,902 2011 Procedures: 12,654


Reported Totals








Appendix 142


Union Hospital Vigo County 1606 North Seventh Street 2011 Inpatient Discharges: 18,032 Terre Haute, IN 47804 2011 Outpatient Visits: 70,521 2011 Procedures: 29,589


Reported Totals








Appendix 143


Wabash County Hospital Wabash County 710 North East Street 2011 Inpatient Discharges: 656 Wabash, IN 46992 2011 Outpatient Visits: 14,228 2011 Procedures: 2,193









Appendix 144


St. Vincent Williamsport Hospital Warren County 412 North Monroe Street 2011 Inpatient Discharges: 863 Williamsport, IN 47993 2011 Outpatient Visits: 15,235 2011 Procedures: 1,492


Reported Totals








Appendix 145


Heart Hospital at Deaconess Gateway Warrick County 4007 Gateway Blvd 2011 Inpatient Discharges: 1,654 Newburgh, IN 47630 2011 Outpatient Visits: 3,438 2011 Procedures: 2,850









Appendix 146


St. Mary’s Warrick Hospital Warrick County 1116 Millis Avenue 2011 Inpatient Discharges: 714 Boonville, IN 47601 2011 Outpatient Visits: 9,166 2011 Procedures: 513


Reported Totals








Appendix 147


Women’s Hospital Warrick County 4199 Gateway Blvd. 2011 Inpatient Discharges: 6,132 Newburgh, IN 47630 2011 Outpatient Visits: 1,674 2011 Procedures: 6,013









Appendix 148


St. Vincent Salem Hospital Washington County 911 North Shelby Street 2011 Inpatient Discharges: 467 Salem, IN 47167 2011 Outpatient Visits: 1,990 2011 Procedures: 2,088


Reported Totals








Appendix 149


Reid Hospital and Health Care Services Wayne County 1100 Reid Parkway 2011 Inpatient Discharges: 12,148 Richmond, IN 47374 2011 Outpatient Visits: 64,005 2011 Procedures: 20,951


Reported Totals








Appendix 150


Bluffton Regional Medical Center Wells County 303 South Main Street 2011 Inpatient Discharges: 2,514 Bluffton, IN 46714 2011 Outpatient Visits: 10,967 2011 Procedures: 3,985


Reported Totals








Appendix 151


Indiana University Health White Hospital White County 1101 O’Connor Blvd. 2011 Inpatient Discharges: 1,311 Monticello, IN 47960 2011 Outpatient Visits: 15,138 2011 Procedures: 1,703









Appendix 152


Parkview Whitley Hospital Whitley County 1260 E. State Road 205 2011 Inpatient Discharges: 1,590 Columbia City, IN 46725 2011 Outpatient Visits: 15,497 2011 Procedures: 3,018


Reported Totals








Appendix 153

Appendix C As a way of providing some comparative figures for ambulatory surgery centers and the reported events, the reports for individual ambulatory surgery centers found in Appendix C provide the number of procedures performed by each ambulatory surgery center. This data is provided for the purpose of comparison of how many patients are treated and how many procedures are performed by each ambulatory surgery center in relation to the number of events reported. This data is required to be reported to the Indiana State Department of Health. Appendix C reflects the surgical procedures performed as reported by ambulatory surgery centers for the calendar year 2011. In order to eliminate mistakes in the report and give facilities the opportunity to review their data for accuracy, the ISDH sent to each facility their final report for 2011. The report was sent in June 2012. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH. In July 2012, the ISDH contacted all facilities that had not returned their verification form to request that the form be returned. The report for each facility reflects whether the data was verified by the facility.

AMBULATORY SURGERY CENTER DATA Data Category Definition Total Number Reported

Procedures

Procedure includes any procedure reported by the ambulatory surgery center on the ASC Utilization Report, State Form 49933.

490,659

Appendix 154

APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011

CLI Surgery Center Allen County 7747 West Jefferson Blvd. 2011 Procedures: 2,934 Fort Wayne, IN 46804









Appendix 155


Eye Surgical Center of Fort Wayne Allen County 321 East Wayne Street 2011 Procedures: 1,805 Fort Wayne, IN 46802









Appendix 156


Fort Wayne Cardiology Allen County 1819 Carew Street 2011 Procedures: No Report Fort Wayne, IN 46805










Appendix 157


Fort Wayne Endoscopy Center Allen County 3415 Hobson Road 2011 Procedures: 3,278 Fort Wayne, IN 46805









Appendix 158


Inverness Surgery Center Allen County 8004 Carnegie Blvd. 2011 Procedures: 2,638 Fort Wayne, IN 46804









Appendix 159


Neurospine/Pain Surgery Center Allen County 7956 West Jefferson Blvd. 2011 Procedures: 1,333 Fort Wayne, IN 46804









Appendix 160


Premier Surgery Center Allen County 11141 Parkview Plaza Dr. 2011 Procedures: 3,877 Fort Wayne, IN 46845









Appendix 161


Southwest Surgical Suites Allen County 7920 West Jefferson Blvd. 2011 Procedures: 2,139 Fort Wayne, IN 46804









Appendix 162


Surgery Center of Ophthalmology Consultants Allen County 7232 Engle Road 2011 Procedures: 1,374 Fort Wayne, IN 46804









Appendix 163


Surgery One Allen County 5052 North Clinton Street 2011 Procedures: 12,839 Fort Wayne, IN 45825









Appendix 164


The Surgery Center Allen County 7900 West Jefferson Blvd, Ste. 102 2011 Procedures: 7,419 Fort Wayne, IN 46804









Appendix 165


Columbus Pain Institute Bartholomew County 2400 North Park, Suite 20 2011 Procedures: 1,350 Columbus, IN 47203









Appendix 166


Columbus Surgery Center Bartholomew County 940 North Marr Road 2011 Procedures: 3,662 Columbus, IN 47201









Appendix 167


Pankratz Eye Institute Bartholomew County 3135 Middle Road 2011 Procedures: 2,038 Columbus, IN 47203









Appendix 168


Metro Specialty Surgery Center Clark County 200 Missouri Ave., Bldg 18 2011 Procedures: No Report Jeffersonville, IN 47130









Appendix 169


Vision Surgical Center at Springhill Clark County 302 West 14th Street 2011 Procedures: 4,347 Jeffersonville, IN 47130









Appendix 170


American Health Network Delaware County 3631 North Morrison Road, Suite 106 2011 Procedures: 2,820 Muncie, IN 47304









Appendix 171


Ball Outpatient Surgery Center Delaware County 2401 W. University Avenue 2011 Procedures: 11,524 Muncie, IN 47303









Appendix 172


Central Indiana Orthopedic Surgery Center Delaware County 3600 West Bethel Avenue 2011 Procedures: 3,539 Muncie, IN 47304









Appendix 173


Medical Consultants Endoscopy Center Delaware County 800 South Tillotson Avenue 2011 Procedures: 5,031 Muncie, IN 47304









Appendix 174


Muncie Eye Specialists Surgery Center Delaware County 200 North Tillotson Avenue 2011 Procedures: 2,198 Muncie, IN 47304









Appendix 175


Muncie Cataract and Laser Eye Center Delaware County 3300 West Purdue Avenue 2011 Procedures: 1,040 Muncie, IN 47304









Appendix 176

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 St. Charles Surgical Pavilion Dubois County 1900 St. Charles Street 2011 Procedures: 2,663 Jasper, IN 47546









Appendix 177

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Elkhart Clinic Endoscopy and Surgery Center Elkhart County 2117 West Lexington Avenue 2011 Procedures: 5,733 Elkhart, IN 46514









Appendix 178

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Goshen Ambulatory Care Center Elkhart County 1605 Winsted Drive 2011 Procedures: 1,764 Goshen, IN 46526









Appendix 179

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 OSMC Outpatient Surgery Center Elkhart County 2310 California Road, Suite B 2011 Procedures: 8,942 Elkhart, IN 46514









Appendix 180

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Riverpointe Cardiovascular Laboratory Elkhart County 500 Arcade Avenue 2011 Procedures: No Report Elkhart, IN 46514

Closed July 29, 2011









Appendix 181

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Riverpointe Surgery Center Elkhart County 500 Arcade Avenue 2011 Procedures: No Report Elkhart, IN 46514









Appendix 182

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Kleinert Kutz Surgery Center Floyd County 3605 Northgate Court 2011 Procedures: No Report New Albany, IN 47150









Appendix 183

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Novamed Eye Surgery Center of New Albany Floyd County 520 West First Street 2011 Procedures: 5,925 New Albany, IN 47150









Appendix 184

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Novamed Pain Management of New Albany Floyd County 520 West First Street 2011 Procedures: 1,219 New Albany, IN 47150









Appendix 185

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Southern Indiana Endoscopy Floyd County 825 University Woods Drive, Suite 2 2011 Procedures: 9,094 New Albany, IN 47150









Appendix 186

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Surgical Center of New Albany Floyd County 2201 Green Valley Road 2011 Procedures: 4,239 New Albany, IN 47150









Appendix 187

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Oakview Surgical Center Fulton County 120 East 18th Street 2011 Procedures: No Report Rochester, IN 46975










Appendix 188

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 The Surgery Center Gibson County 2030 Sherman Drive 2011 Procedures: No Rpeort Princeton, IN 47670









Appendix 189

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Marion Eye Specialists Surgery Center Grant County 711 Gardner Drive 2011 Procedures: 1,906 Marion, IN 46952









Appendix 190

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 River View Surgery Center Grant County 330 North Wabash Avenue 2011 Procedures: 4,068 Marion, IN 46952









Appendix 191

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Aesthetic Surgery Center Hamilton County 13590 North Meridian Street 2011 Procedures: 295 Carmel, IN 46032









Appendix 192

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Beltway Surgery Center Hamilton County 151 Pennsylvania Parkway 2011 Procedures: 20,792 Indianapolis, IN 46280









Appendix 193

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Carmel Ambulatory Surgery Center Hamilton County 13421 Old Meridian Street 2011 Procedures: No Report Carmel, IN 46032









Appendix 194

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Digestive Health Center Hamilton County 1120 AAA Way, Suite A 2011 Procedures: 4,188 Carmel, IN 46032









Appendix 195

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2011 Endoscopy Center Hamilton County 13421 Old Meridian Street 2011 Procedures: No Rpeort Carmel, IN 46032









Appendix 196


Fishers Ambulatory Surgery Center Hamilton County 13914 Southeastern Parkway 2011 Procedures: No Report Fishers, IN 46037



Reported Totals








Appendix 197


Indiana Endoscopy Centers Hamilton County 10967 Allisonville Road 2011 Procedures: 1,254 Fishers, IN 46038









Appendix 198


Indiana Surgery Center – Noblesville Hamilton County 9700 East 146th Street 2011 Procedures: 2,875 Noblesville, IN 46060









Appendix 199


Meridian Plastic Surgery Center Hamilton County 170 West 106th Street 2011 Procedures: 3,001 Indianapolis, IN 46290









Appendix 200


North Meridian Surgery Center Hamilton County 10601 North Meridian Street 2011 Procedures: 5,013 Indianapolis, IN 46290









Appendix 201


The Surgery Center of Carmel Hamilton County 12188 North Meridian Street, Suite 150 2011 Procedures: 2,013 Carmel, IN 46032









Appendix 202


Hancock Surgery Center Hancock County One Memorial Square, Suite 1000 2011 Procedures: 4,353 Greenfield, IN 46140









Appendix 203


Indiana Endoscopy Centers Hendricks County 1115 North Ronald Reagan Parkway 2011 Procedures: 2,880 Avon, IN 46123









Appendix 204


CLI Surgery Center Howard County 1601 West Lincoln Road 2011 Procedures: 2,042 Kokomo, IN 46904









Appendix 205


Indiana Surgery Center – Howard Comm. Hospital Howard County 3503 South Reed Road 2011 Procedures: 4,279 Kokomo, IN 46902









Appendix 206


Ambulatory Surgery Center at Indiana Eye Clinic Johnson County 30 North Emerson Avenue 2011 Procedures: 3,474 Greenwood, IN 46143









Appendix 207


Indiana Skin Cancer Ambulatory Surgery Center Johnson County 701 East County Line Road 2011 Procedures: 2,605 Greenwood, IN 46143









Appendix 208


South Central Surgery Center Johnson County 5002 East State Road 44 2011 Procedures: No Report Franklin, IN 46131









Appendix 209


Wabash Valley Eye Surgery Center Knox County 2020 Clearview Drive 2011 Procedures: 1,074 Vincennes, IN 47591









Appendix 210


Grossnickle Eye Center Kosciusko County 2251 Dubois Drive 2011 Procedures: 7,094 Warsaw, IN 46580









Appendix 211


Lagrange Surgery Center Lagrange County 2500 Ventura Way 2011 Procedures: 1,076 Lagrange, IN 46761









Appendix 212


APAC Surgery Center II Lake County 11460 S. Broadway 2011 Procedures: 7,942 Crown Point, IN 46307









Appendix 213


Broadwest Specialty Surgical Center Lake County 315 West 89th Street 2011 Procedures: 1,900 Merrillville, IN 46410









Appendix 214


CBC, LLC Lake County 5355 Commerce Blvd. 2011 Procedures: 408 Crown Point, IN 46307









Appendix 215


Grand Park Surgical Center Lake County 1479 East 84th Place 2011 Procedures: No Report Merrillville, IN 46410









Appendix 216


Hammond Community Ambulatory Care Center Lake County 2143 Calumet Ave. 2011 Procedures: 385 Hammond, IN 46394









Appendix 217


IMA Endoscopy Surgicenter Lake County 8895 Broadway 2011 Procedures: 3,361 Merrillville, IN 46410









Appendix 218


Lakeside Surgery Center Lake County 810 West Chicago Avenue 2011 Procedures: 760 East Chicago, IN 46312









Appendix 219


Merrillville Plaza Surgery Center Lake County 255 East 90th Drive 2011 Procedures: 949 Merrillville, IN 46410









Appendix 220


Munster Same Day Surgery Center Lake County 761 45th Street 2011 Procedures: 4,096 Munster, IN 46321









Appendix 221


Novamed Surgery Center of Merrillville Lake County 8514 Broadway 2011 Procedures: 1,713 Merrillville, IN 46410









Appendix 222


White Oak Surgery Center Lake County 1950 45th Street 2011 Procedures: 1,581 Munster, IN 46321









Appendix 223


Williams Eye Surgery Center Lake County 6836 Hohman Avenue 2011 Procedures: 1,627 Hammond, IN 46324









Appendix 224


Laporte Medical Group Surgical Center Laporte County 900 I Street 2011 Procedures: 2,709 Laporte, IN 46350









Appendix 225


Community Center for Digestive Care Madison County 1601 Medical Arts Blvd, Suite 300 2011 Procedures: 2,807 Anderson, IN 46016









Appendix 226


Center for Special Surgery Marion County 8805 North Meridian Street 2011 Procedures: 4,351 Indianapolis, IN 46260









Appendix 227


Central Indiana Surgery Center Marion County 9002 North Meridian Street, Lower Level 2011 Procedures: 3,046 Indianapolis, IN 46260









Appendix 228


Eagle Highlands Surgery Center Marion County 6850 Parkdale Place 2011 Procedures: 6,542 Indianapolis, IN 46254









Appendix 229


Endoscopy Center at St. Francis Marion County 8051 South Emerson, Suite 150 2011 Procedures: 10,200 Indianapolis, IN 46237









Appendix 230


Foot & Ankle Surgery Center Marion County 8651 Township Line Road 2011 Procedures: 1,405 Indianapolis, IN 46260









Appendix 231


Franciscan Surgery Center Marion County 5255 East Stop 11 Road, Suite 100 2011 Procedures: 9,488 Indianapolis, IN 46237









Appendix 232


Indiana Endoscopy Centers Marion County 1801 North Senate Blvd. 2011 Procedures: 4,107 Indianapolis, IN 46202









Appendix 233


Indianapolis Endoscopy Center Marion County 8315 East 56th Street 2011 Procedures: 10,576 Indianapolis, IN









Appendix 234


Indiana Orthopaedic Surgery Center Marion County 5255 East Stop 11 Road, Suite 110 2011 Procedures: No Report Indianapolis, IN 46237










Appendix 235


Indiana Surgery Center - East Marion County 5445 East 16th Street 2011 Procedures: 8,472 Indianapolis, IN 46218









Appendix 236


Indiana Surgery Center – North Marion County 8040 Clearvista Parkway 2011 Procedures: 11,205 Indianapolis, IN 46256






ENVIRONMENTAL 0 20 Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0



Appendix 237


Indiana Surgery Center – South Marion County 1550 East County Line Road South 2011 Procedures: 10,048 Indianapolis, IN 46227









Appendix 238


Naab Road Surgery Center Marion County 8260 Naab Road 2011 Procedures: 8,446 Indianapolis, IN 46260









Appendix 239


Northside Cardiac Cath Lab Marion County 8333 Naab Road, #180 2011 Procedures: No Report Indianapolis, IN 46260

Closed June 30, 2011









Appendix 240


Northside Gastroenterology Endoscopy Center Marion County 8424 Naab Road 2011 Procedures: 11,505 Indianapolis, IN 46260









Appendix 241


ROC Surgery Marion County 702 Barnhill Drive, Ste 201 2011 Procedures: 7,521 Indianapolis, IN 46202









Appendix 242


Senate Street Surgery Center Marion County 1801 North Senate Boulevard 2011 Procedures: 4,316 Indianapolis, IN 46202









Appendix 243


South Emerson Surgery Center Marion County 8141 South Emerson Avenue, Suite C 2011 Procedures: 2,434 Indianapolis, IN 46237









Appendix 244


Surgery Center Marion County 8501 Harcourt Road 2011 Procedures: 9,085 Indianapolis, IN 46280









Appendix 245


Surgery Center of Eye Specialists of Indiana Marion County 1901 North Meridian Street 2011 Procedures: 7,666 Indianapolis, IN 46202









Appendix 246


Surgery Center of Indianapolis Marion County 2007 North Capitol Avenue 2011 Procedures: 2,641 Indianapolis, IN 46202









Appendix 247


Surgery Center Plus Marion County 7430 North Shadeland Avenue, Suite 100 2011 Procedures: 2,932 Indianapolis, IN 46250









Appendix 248


Surgical Care Center Marion County 8103 Clearvista Parkway 2011 Procedures: 4,719 Indianapolis, IN 46256









Appendix 249


Sycamore Springs Surgery Center Marion County 4715 Statesmen Drive, Suite A 2011 Procedures: 4,317 Indianapolis, IN 46250









Appendix 250


Women’s Physician Surgery Center Marion County 8081 Township Line Road 2011 Procedures: No Report Indianapolis, IN 46260










Appendix 251


Bloomington Endoscopy Center Monroe County 550 Landmark Avenue 2011 Procedures: 5,956 Bloomington, IN 47402









Appendix 252


Bloomington Surgery Center Monroe County 1011 West Second Street 2011 Procedures: 3,829 Bloomington, IN 47403









Appendix 253


Ctr. for Advanced Laparoscopic/Bariatric Surgery Monroe County 506 West Second Street 2011 Procedures: 162 Bloomington, IN 47403









Appendix 254


Indiana Specialty Surgery Center Monroe County 1380 West Arch Haven Ave. 2011 Procedures: 5,077 Bloomington, IN 47403









Appendix 255


Southern Indiana Surgery Center Monroe County 2800 Rex Grossman Blvd 2011 Procedures: 7,080 Bloomington, IN 47403









Appendix 256


Surgery Center for Pain of Southern Indiana Monroe County 2920 McIntire Drive, Suite 150 2011 Procedures: 14 Bloomington, IN 47403









Appendix 257


Surgicare Monroe County 2907 McIntire Drive, Suite C 2011 Procedures: 5,169 Bloomington, IN 47403









Appendix 258


Mooresville Endoscopy Morgan County 1215 Hadley Rd., Ste 101 2011 Procedures: 2,031 Mooresville, IN 46158









Appendix 259


St. Francis Mooresville Surgery Center Morgan County 1215 Hadley Rd., Ste 100 2011 Procedures: 2,211 Mooresville, IN 46158









Appendix 260


Indiana University Health Lakeshore Surgicare Porter County 3111 Village Pointe 2011 Procedures: 6,986 Chesterton, IN 46304









Appendix 261


Allied Physicians Surgery Center St. Joseph County 53990 Carmichael Drive 2011 Procedures: 23,429 South Bend, IN 46635









Appendix 262


Memorial Spine & Neuroscience Center St. Joseph County 100 Navarre Place 2011 Procedures: 1,505 South Bend, IN 46601


Reported Totals








Appendix 263


Michiana Endoscopy Center St. Joseph County 53830 Generations Drive 2011 Procedures: 8,372 South Bend, IN 46635









Appendix 264


South Bend Clinic & Surgicenter St. Joseph County 211 North Eddy Street 2011 Procedures: 8,457 South Bend, IN 46617









Appendix 265


Sullivan Surgicenter Sullivan County 320 North Section Street 2011 Procedures: 787 Sullivan, IN 47882









Appendix 266


Advanced Surgery Center Tippecanoe County 1400 Teal Road, Suite 7 2011 Procedures: 2,725 Lafayette, IN 47905









Appendix 267


Sagamore Surgical Services Tippecanoe County 2320 Concord Road, Suite B 2011 Procedures: 1,744 Lafayette, IN 47909









Appendix 268


St. Vincent Medical Group Tippecanoe County 1116 N. 16th Street, Ste C 2011 Procedures: No Report Lafayette, IN 47904

Closed August 1, 2011









Appendix 269


Unity Surgical Center Tippecanoe County 1411 South Creasy Lane 2011 Procedures: 16,650 Lafayette, IN 47905









Appendix 270


Advanced Ambulatory Surgery Center Vanderburgh County 1101 Professional Blvd, Suite 104 2011 Procedures: 26 Evansville, IN 47714









Appendix 271


Ambulatory Surgery Center for Pain Relief Vanderburgh County 2330 Lynch Road, Suite 100 2011 Procedures: 1,717 Evansville, IN 47711









Appendix 272


Evansville Surgery Center Associates Vanderburgh County 520 Mary Street, Suite 130 2011 Procedures: 6,896 Evansville, IN 47710









Appendix 273


Eyecare Consultants Surgery Center Vanderburgh County 101 NW First Street 2011 Procedures: 1,969 Evansville, IN 47708









Appendix 274


Eye Care Surgery Center of Evansville Vanderburgh County 6540 Logan Drive, Suite 3 2011 Procedures: No Report Evansville, IN 47715









Appendix 275


Gastrointestinal Endoscopy Center Vanderburgh County 801 St. Mary’s Drive 2011 Procedures: 9,165 Evansville, IN 47714









Appendix 276


Valley Surgery Center Vanderburgh County 220 East Virginia Street 2011 Procedures: 3,639 Evansville, IN 47711









Appendix 277


St. Vincent Surgery Center of Terre Haute Vigo County 227 East McCallister Drive 2011 Procedures: 4,783 Terre Haute, IN 47802









Appendix 278


Terre Haute Heart Center Outpatient Cath Lab Vigo County 455 East Hospital Lane 2011 Procedures: 410 Terre Haute, IN 47802









Appendix 279


Evansville Surgery Center, Gateway Warrick County 4133 Gateway Blvd 2011 Procedures: 3,968 Newburgh, IN 47630









Appendix 280


Tower Specialty Surgery Wayne County 1400 Highland Road, Suite 2 2011 Procedures: No Report Richmond, IN 47374









Appendix 281


Whitewater Surgery Center Wayne County 1900 Chester Blvd 2011 Procedures: 3,815 Richmond, IN 47374







CRIMINAL 0 25 Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0


Appendix 282

APPENDIX D In order to eliminate mistakes in the report and give facilities the opportunity to review their data for accuracy, the ISDH sent to each facility their final report for 2011. The report was sent in June 2012. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH. In July 2012, the ISDH contacted all facilities that had not returned their verification form to request that the form be returned. A few facilities failed to return the verification prior to the publishing of the report. The report for each facility reflects whether the data was verified by the facility.

Appendix 283

APPENDIX D ABORTION CLINICS REPORTABLE EVENTS FOR 2011

Fort Wayne Women’s Health Allen County 2210 Inwood Drive Fort Wayne, IN 46815









Appendix 284


Planned Parenthood of Indiana – Merrillville Clinic Lake County 8645 Connecticut Street Merrillville, IN 46410









Appendix 285


Friendship Family Planning Clinic Lake County 3700 Broadway Gary, IN 46408









Appendix 286


Affiliated Women’s Services Marion County 2215 Distributors Drive Indianapolis, IN 46241









Appendix 287


Clinic For Women Marion County 3607 West 16th Street Indianapolis, IN 46222









Appendix 288


Indianapolis Women’s Center Marion County 1201 North Arlington Avenue Indianapolis, IN 46219









Appendix 289


Planned Parenthood of Indiana- Indianapolis, Clinic Marion County 8590 Georgetown Road Indianapolis, IN 46268









Appendix 290


Planned Parenthood of Indiana – Bloomington Clinic Monroe County 421 South College Avenue Bloomington, IN 47403









Appendix 291


Women’s Pavilion St. Joseph County 2011 Ironwood Circle South Bend, IN 46635









Appendix 292

APPENDIX E

In order to eliminate mistakes in the report and give facilities the opportunity to review their data for accuracy, the ISDH sent to each facility their final report for 2011. The report was sent in June 2012. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH. In July 2012, the ISDH contacted all facilities that had not returned their verification form to request that the form be returned. A few facilities failed to return the verification prior to the publishing of the report. The report for each facility reflects whether the data was verified by the facility. .

Appendix 293

APPENDIX E BIRTHING CENTERS REPORTABLE EVENTS FOR 2011

Auburn Birthing Center Dekalb County 1915 Wesley Road Auburn, IN 46706









Appendix 294


Expectations Women’s Health & Childbearing Center Delaware County 1506 West White River Blvd. Muncie, IN 47303










Appendix 295


Goshen Birth Center, Inc. Elkhart County 1155 Lighthouse Lane Goshen, IN 46526









Appendix 296


New Eden Care Center Lagrange County 7980 W 100 S Topeka, IN 46571









Appendix 297


Nurse – Midwives of Indianapolis Marion County 2110 West 38th Street Indianapolis, IN 46228










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