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Appendix 1

APPENDIX A SUMMARY OF FACILITIES REPORTING EVENTS FOR 2009

Hospital (42 ) Reported Events

Inpatient Discharges*

Outpatient Visits*

Procedures*

Clarian [Methodist, I.U., Riley](Indianapolis) 18** 56,022 168,689 65,738 Deaconess (Evansville) 4 22,572 97,576 39,357 Methodist (Gary) 4 19,331 53,548 15,042 St. Vincent (Indianapolis) 4** 35,619 129,490 58,650 St. Vincent Heart (Indianapolis) 4 5,775 4,538 6,422 Clark (Jeffersonville) 3 12,095 47,033 19,558 Floyd (New Albany) 3 14,037 53,474 18,252 Memorial (South Bend) 3 20,127 72,841 29,541 St. Mary’s (Evansville) 3 17,522 76,952 35,471 St. Vincent Seton Specialty (Indianapolis) 3 No Report No Report No Report Clarian Arnett (Lafayettel) 2 7,102 36,969 15,433 Community North (Indianapolis) 2 15,242 78,067 41,542 Goshen (Goshen) 2 6,511 35,517 10,940 Kindred (Indianapolis) 2 433 0 174 Lutheran (Fort Wayne) 2 23,548 82,339 45,104 Reid (Richmond) 2 10,863 72,399 20,922 St. Elizabeth Med Ctr (Lafayette) 2 4,349 38,883 7,421 St. Joseph (South Bend) 2 16,065 42,928 17,615 Bloomington (Bloomington) 1 14,429 73,711 18,604 Clarian North (Carmel) 1** 10,593 22,129 15,767 Clarian West (Avon) 1 7,447 40,522 10,245 Columbus (Columbus) 1 10,089 46,344 15,075 Community South (Indianapolis) 1 7,557 46,772 20,604 Dearborn (Lawrenceburg) 1 4,987 25,207 9,385 Elkhart (Elkhart) 1 14,283 60,825 16,408 Heart at Deaconess Gateway (Newburgh) 1 1,363 3,973 2,261 Henry (New Castle) 1 3,821 33,478 9,077 Home (Lafayette) 1 9,026 34,284 11,293 Indiana Orthopaedic (Indianapolis) 1 2,500 7,569 10,060 Johnson (Franklin) 1 3,389 28,643 6,152 Marion (Marion) 1 5,837 36,962 5,291 Monroe (Monroe) 1 No Report No Report No Report Parkview Lagrange (Lagrange) 1 1,445 10,538 2,477 Riverview (Noblesville) 1 6,153 35,616 12,020 St. Catherine (Charlestown) 1 1,982 7,046 1,782 Schneck (Seymour) 1 4,113 32,041 9,609 St. Anthony (Crown Point) 1 12,630 42,267 13,522 St. Clare (Crawfordsville) 1 2,477 25,644 6,236 St. Francis (Beech Grove) 1 10,161 53,301 11,789 St. Joseph (Kokomo) 1 5,750 30,174 10,839 Wishard (Indianapolis) 1 19,542 122,129 13,798 Witham (Lebanon) 1 2,621 20,186 6,180 Total Reported Events in Hospitals 89 * Explanation of these terms is found on page Appendix 3. ** At least one event occurred in 2008, but was reported after the 2008 Report was issued.

Appendix 2

Ambulatory Surgery Centers (5) Reported Events Procedures Elkhart Clinic Endoscopy (Elkhart) 1 6,725 Indiana Orthopaedic Surgery Center (Indianapolis) 1 No Report Indiana Surgery Center East (Indianapolis) 1 8,505 Indiana Surgery Center North (Indianapolis) 1 17,453 Surgery One (Fort Wayne) 1 11,389 Total Reported Events in Ambulatory Surgery Centers 5 Total Reported Events (All Entities) 94

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 2009 by hospitals as of July 14, 2010. 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 2009. The report was sent in June 2010. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH. In July 2010, 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.

809,600

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.

3,878,619

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.

1,277,994

Appendix 4

APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2009

Adams Memorial Hospital Adams County 1100 Mercer Avenue 2009 Inpatient Discharges: 2,215 Decatur, IN 46733 2009 Outpatient Visits: 15,041 2009 Procedures: 3,593

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 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. 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 0

Appendix 5


Dupont Hospital Allen County 2520 East Dupont Road 2009 Inpatient Discharges: 7,754 Fort Wayne, IN 46825 2009 Outpatient Visits: 29,749 2009 Procedures: 16,884









Appendix 6


Lutheran Hospital of Indiana Allen County 7950 West Jefferson Blvd 2009 Inpatient Discharges: 23,548 Fort Wayne, IN 46804 2009 Outpatient Visits: 82,339 2009 Procedures: 45,104









Appendix 7


Orthopaedic Hospital of Lutheran Health Allen County 7952 West Jefferson Blvd 2009 Inpatient Discharges: No Report Fort Wayne, IN 46804 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 8

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Orthopaedic Hospital at Parkview North Allen County 1119 Parkview Plaza Drive 2009 Inpatient Discharges: 1,664 Fort Wayne, IN 46845 2009 Outpatient Visits: 1,840 2009 Procedures: 3,490









Appendix 9

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Parkview Hospital Allen County 2200 Randallia Drive 2009 Inpatient Discharges: 26,353 Fort Wayne, IN 46805 2009 Outpatient Visits: 104,371 2009 Procedures: 36,772









Appendix 10


Progressive Hospital Allen County 2626 Fairfield Avenue 2009 Inpatient Discharges: No Report Fort Wayne, IN 46807 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 11

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Rehabilitation Hospital of Fort Wayne Allen County 7970 West Jefferson Blvd 2009 Inpatient Discharges: 529 Fort Wayne, IN 46804 2009 Outpatient Visits: 0 2009 Procedures: 1









Appendix 12

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Select Specialty Hospital - Fort Wayne Allen County 700 Broadway 2009 Inpatient Discharges: No Report Fort Wayne, IN 46802 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 13

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 St. Joseph Hospital Allen County 700 Broadway 2009 Inpatient Discharges: 5,843 Fort Wayne, IN 46802 2009 Outpatient Visits: 25,305 2009 Procedures: 6,861









Appendix 14

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Columbus Regional Hospital Bartholomew County 2400 East 17th Street 2009 Inpatient Discharges: 10,089 Columbus, IN 47201 2009 Outpatient Visits: 46,344 2009 Procedures: 15,075









Appendix 15

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Blackford Community Hospital Blackford County 410 Pilgrim Blvd 2009 Inpatient Discharges: 556 Hartford City, IN 47348 2009 Outpatient Visits: 10,527 2009 Procedures: 1,149









Appendix 16

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Witham Hospital Boone County 2605 North Lebanon Street 2009 Inpatient Discharges: 2,621 Lebanon, IN 46052 2009 Outpatient Visits: 20,186 2009 Procedures: 6,180









Appendix 17

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Memorial Hospital Cass County 1101 Michigan Avenue 2009 Inpatient Discharges: 2,429 Logansport, IN 46947 2009 Outpatient Visits: 21,718 2009 Procedures: 5,062









Appendix 18

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Clark Memorial Hospital Clark County 1220 Missouri Avenue 2009 Inpatient Discharges: 12,095 Jeffersonville, IN 47130 2009 Outpatient Visits: 47,033 2009 Procedures: 19,558









Appendix 19

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Kentuckiana Medical Center Clark County 4601 Medical Plaza Way 2009 Inpatient Discharges: No Report Clarksville, IN 47129 2009 Outpatient Visits: No Report 2009 Procedures: No Report








TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0

Appendix 20

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 St. Catherine Regional Hospital Clark County 2200 Market Street 2009 Inpatient Discharges: 1,982 Charlestown, IN 47111 2009 Outpatient Visits: 7,046 2009 Procedures: 1,782









Appendix 21

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 St. Vincent Clay Hospital Clay County 1206 East National Avenue 2009 Inpatient Discharges: 685 Brazil, IN 47834 2009 Outpatient Visits: 17,536 2009 Procedures: 2,321









Appendix 22

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 St. Vincent Frankfort Hospital Clinton County 1300 South Jackson Street 2009 Inpatient Discharges: 1,099 Frankfort, IN 46041 2009 Outpatient Visits: 13,168 2009 Procedures: 2,179









Appendix 23


Daviess Community Hospital Daviess County 1314 East Walnut Street 2009 Inpatient Discharges: 3,172 Washington, IN 47501 2009 Outpatient Visits: 20,634 2009 Procedures: 5,341









Appendix 24


Dearborn County Hospital Dearborn County 600 Wilson Creek Road 2009 Inpatient Discharges: 4,987 Lawrenceburg, IN 47025 2009 Outpatient Visits: 25,207 2009 Procedures: 9,385









Appendix 25


Decatur County Memorial Hospital Decatur County 720 North Lincoln Street 2009 Inpatient Discharges: 1,491 Greensburg, IN 47240 2009 Outpatient Visits: 16,349 2009 Procedures: 3,079









Appendix 26

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Dekalb Memorial Hospital Dekalb County 1316 East Seventh Street 2009 Inpatient Discharges: 2,389 Auburn, IN 46706 2009 Outpatient Visits: 17,032 2009 Procedures: 4,830









Appendix 27


Ball Memorial Hospital Delaware County 2401 University Avenue 2009 Inpatient Discharges: 16,040 Muncie, IN 47303 2009 Outpatient Visits: 65,234 2009 Procedures: 24,748









Appendix 28


Renaissance Specialty Hospital of Central Indiana Delaware County 3400 West Community Drive 2009 Inpatient Discharges: No Report Muncie, IN 47304 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 29


Memorial Hospital & Health Care Center Dubois County 800 West 9th Street 2009 Inpatient Discharges: 8,334 Jasper, IN 47546 2009 Outpatient Visits: 38,803 2009 Procedures: 15,310









Appendix 30


Elkhart General Hospital Elkhart County 600 East Blvd 2009 Inpatient Discharges: 14,283 Elkhart, IN 46514 2009 Outpatient Visits: 60,825 2009 Procedures: 16,408









Appendix 31


Goshen General Hospital Elkhart County 200 High Park Avenue 2009 Inpatient Discharges: 6,511 Goshen, IN 46526 2009 Outpatient Visits: 35,517 2009 Procedures: 10,940









Appendix 32


Fayette Memorial Hospital Fayette County 1941 Virginia Avenue 2009 Inpatient Discharges: 2,628 Connersville, IN 47331 2009 Outpatient Visits: 15,759 2009 Procedures: 2,737









Appendix 33


Floyd Memorial Hospital & Health Services Floyd County 1850 State Street 2009 Inpatient Discharges: 14,037 New Albany, IN 47150 2009 Outpatient Visits: 53,474 2009 Procedures: 18,252









Appendix 34


Physicians’ Medical Center Floyd County 4023 Reas Lane 2009 Inpatient Discharges: No Report New Albany, IN 47150 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 35


Southern Indiana Rehabilitation Hospital Floyd County 3104 Blackiston Blvd 2009 Inpatient Discharges: No Report New Albany, IN 47150 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 36


Woodlawn Hospital Fulton County 1400 East 9th Street 2009 Inpatient Discharges: 1,330 Rochester, IN 46975 2009 Outpatient Visits: 11,564 2009 Procedures: 2,967









Appendix 37


Gibson General Hospital Gibson County 1808 Sherman Drive 2009 Inpatient Discharges: 772 Princeton, IN 47670 2009 Outpatient Visits: 15,283 2009 Procedures: 2,587









Appendix 38


Marion General Hospital Grant County 441 North Wabash Avenue 2009 Inpatient Discharges: 5,837 Marion, IN 46952 2009 Outpatient Visits: 36,962 2009 Procedures: 5,291









Appendix 39


Greene County General Hospital Greene County Lone Tree Rd. 2009 Inpatient Discharges: 1,127 R.R. 1, Box 1000 2009 Outpatient Visits: 8,354 Linton, IN 47441 2009 Procedures: 1,555









Appendix 40


Clarian North Medical Center Hamilton County 11700 North Meridian Street 2009 Inpatient Discharges: 10,593 Carmel, IN 46032 2009 Outpatient Visits: 22,129 2009 Procedures: 15,767


SURGICAL 1 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 1** 5. Intra-operative or post-operative death in a normal, healthy patient 0







** At least one event occurred in 2008, but was reported after the 2008 Report was issued.

Appendix 41


Riverview Hospital Hamilton County 395 Westfield Drive 2009 Inpatient Discharges: 6,153 Noblesville, IN 46060 2009 Outpatient Visits: 35,616 2009 Procedures: 12,020









Appendix 42


St. Vincent Carmel Hospital Hamilton County 13500 North Meridian Street 2009 Inpatient Discharges: 6,675 Carmel, IN 46032 2009 Outpatient Visits: 30,807 2009 Procedures: 21,071









Appendix 43


St. Vincent Heart Center of Indiana Hamilton County 10580 North Meridian Street 2009 Inpatient Discharges: 5,775 Indianapolis, IN 46290 2009 Outpatient Visits: 4,538 2009 Procedures: 6,422









Appendix 44


Hancock Regional Hospital Hancock County 801 North State Street 2009 Inpatient Discharges: 3,898 Greenfield, IN 46140 2009 Outpatient Visits: 29,424 2009 Procedures: 8,385









Appendix 45


Harrison County Hospital Harrison County 1141 Hospital Drive NW 2009 Inpatient Discharges: 1,600 Corydon, IN 47112 2009 Outpatient Visits: 16,667 2009 Procedures: 3,073









Appendix 46


Clarian West Medical Center Hendricks County 111 North Ronald Reagan Parkway 2009 Inpatient Discharges: 7,447 Avon, IN 46123 2009 Outpatient Visits: 40,522 2009 Procedures: 10,245









Appendix 47


Hendricks Regional Health Hendricks County 1000 East Main Street 2009 Inpatient Discharges: 6,269 Danville, IN 46122 2009 Outpatient Visits: 40,698 2009 Procedures: 15,051

Reportable Event Number

Reported Totals








Appendix 48


Henry County Memorial Hospital Henry County 1000 North 16th Street 2009 Inpatient Discharges: 3,821 New Castle, IN 47362 2009 Outpatient Visits: 33,478 2009 Procedures: 9,077









Appendix 49


Howard Regional Health System Howard County 3500 South Lafountain Street 2009 Inpatient Discharges: 5,332 Kokomo, IN 46904 2009 Outpatient Visits: 31,240 2009 Procedures: 6,683


Reported Totals








Appendix 50


Howard Regional Health System – West Campus Howard County 829 North Dixon Road 2009 Inpatient Discharges: 529 Kokomo, IN 46901 2009 Outpatient Visits: 480

2009 Procedures: 0









Appendix 51


St. Joseph Hospital & Health Center Howard County 1907 West Sycamore Street 2009 Inpatient Discharges: 5,750 Kokomo, IN 46901 2009 Outpatient Visits: 30,174 2009 Procedures: 10,839









Appendix 52


Parkview Huntington Hospital Huntington County 2001 Stults Road 2009 Inpatient Discharges: 2,095 Huntington, IN 46750 2009 Outpatient Visits: 19,329 2009 Procedures: 4,024


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 2009 Inpatient Discharges: 4,113 Seymour, IN 47274 2009 Outpatient Visits: 32,041 2009 Procedures: 9,609


Reported Totals








Appendix 54


Jasper County Hospital Jasper County 1104 East Grace Street 2009 Inpatient Discharges: 1,347 Rensselaer, IN 47978 2009 Outpatient Visits: 2,507 2009 Procedures: 2,880









Appendix 55


Jay County Hospital Jay County 500 West Votaw Street 2009 Inpatient Discharges: 1,296 Portland, IN 47371 2009 Outpatient Visits: 11,839 2009 Procedures: 1,887









Appendix 56


King’s Daughters Hospital and Health Center Jefferson County One King’s Daughters Drive 2009 Inpatient Discharges: 4,421` Madison, IN 47250 2009 Outpatient Visits: 24,067 2009 Procedures: 7,995









Appendix 57


St. Vincent Jennings Hospital Jennings County 301 Henry Street 2009 Inpatient Discharges: 454 North Vernon, IN 47265 2009 Outpatient Visits: 11,344 2009 Procedures: 510


Reported Totals








Appendix 58


Johnson Memorial Hospital Johnson County 1125 West Jefferson Street 2009 Inpatient Discharges: 3,389 Franklin, IN 46131 2009 Outpatient Visits: 28,643 2009 Procedures: 6,152









Appendix 59


Kindred Hospital – South Johnson County 898 East Main Street 2009 Inpatient Discharges: 573 Greenwood, IN 46143 2009 Outpatient Visits: 0 2009 Procedures: 219


Reported Totals








Appendix 60


Select Specialty Hospital – Indianapolis Johnson County 898 East Main Street 2009 Inpatient Discharges: No Report Greenwood, IN 46143 2009 Outpatient Visits: No Report 2009 Procedures: No Report

Closed March 18, 2009









Appendix 61


Good Samaritan Hospital Knox County 520 South 7th Street 2009 Inpatient Discharges: 8,028 Vincennes, IN 47591 2009 Outpatient Visits: 41,395 2009 Procedures: 11,254


Reported Totals








Appendix 62


Kosciusko Community Hospital Kosciusko County 2101 East Dubois Avenue 2009 Inpatient Discharges: 5,332 Warsaw, IN 46580 2009 Outpatient Visits: 29,329 2009 Procedures: 7,963


Reported Totals








Appendix 63


Parkview Lagrange Hospital Lagrange County 207 North Townline Road 2009 Inpatient Discharges: 1,445 Lagrange, IN 46761 2009 Outpatient Visits: 10,538 2009 Procedures: 2,477









Appendix 64


Community Hospital Lake County 901 MacArthur Blvd. 2009 Inpatient Discharges: 21,905 Munster, IN 46321 2009 Outpatient Visits: 76,769 2009 Procedures: 33,447


Reported Totals








Appendix 65


Franciscan Physicians Hospital Lake County 701 Superior Avenue 2009 Inpatient Discharges: 734 Munster, IN 46321 2009 Outpatient Visits: 3,389 2009 Procedures: 2,821


Reported Totals








Appendix 66


Hind General Hospital Lake County 101 West 61st Avenue 2009 Inpatient Discharges: No Report Hobart, IN 46342 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 67


Methodist Hospital Lake County 600 Grant Street 2009 Inpatient Discharges: 19,331 Gary, IN 46402 2009 Outpatient Visits: 53,548 2009 Procedures: 15,042


Reported Totals








Appendix 68


Pinnacle Hospital Lake County 9301 Connecticut 2009 Inpatient Discharges: No Report Crown Point, IN 46307 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 69

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Progressive Hospital of Merrillville Lake County 9509 Georgia Street 2009 Inpatient Discharges: No Report Crown Point, IN 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 70


Regency Hospital of Northwest Indiana Lake County 4321 Fir Street, 4th Floor 2009 Inpatient Discharges: No Report East Chicago, IN 46312 2009 Outpatient Visits: No Report 2009 Procedures: No Report


Reported Totals








Appendix 71


Select Specialty Hospital – Northwest Indiana Lake County 5454 Hohman Avenue 2009 Inpatient Discharges: No Report Hammond, IN 46325 2009 Outpatient Visits: No Report 2009 Procedures: No Report


Reported Totals








Appendix 72


St. Anthony Medical Center Lake County 1201 South Main Street 2009 Inpatient Discharges: 12,630 Crown Point, IN 46307 2009 Outpatient Visits: 42,267 2009 Procedures: 13,522









Appendix 73


St. Catherine Hospital Lake County 4321 Fir Street 2009 Inpatient Discharges: 9,103 East Chicago, IN 46312 2009 Outpatient Visits: 34,508 2009 Procedures: 7,567









Appendix 74


St. Margaret Mercy Healthcare Centers Lake County 24 Joliet Street 2009 Inpatient Discharges: 8,314 Dyer, IN 46311 2009 Outpatient Visits: 28,546 2009 Procedures: 8,414









Appendix 75

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 St. Margaret Mercy Healthcare Centers Lake County 5454 Hohman Avenue 2009 Inpatient Discharges: 11,429 Hammond, IN 46320 2009 Outpatient Visits: 41,234 2009 Procedures: 10,794









Appendix 76


St. Mary’s Medical Center Lake County 1500 South Lake Park Avenue 2009 Inpatient Discharges: 11,106 Hobart, IN 46342 2009 Outpatient Visits: 39,906 2009 Procedures: 11,832


Reported Totals








Appendix 77


Surgical Hospital of Munster Lake County 7847 Calumet Avenue 2009 Inpatient Discharges: 121 Munster, IN 2009 Outpatient Visits: 3,187 2009 Procedures: 3,261









Appendix 78


Laporte Hospital & Health Services Laporte County 1007 Lincolnway 2009 Inpatient Discharges: 5,798 Laporte, IN 46350 2009 Outpatient Visits: 24,537 2009 Procedures: 9,218


Reported Totals








Appendix 79


St. Anthony Memorial Health Centers Laporte County 301 West Homer Street 2009 Inpatient Discharges: 7,666 Michigan City, IN 46360 2009 Outpatient Visits: 46,263 2009 Procedures: 16,686


Reported Totals








Appendix 80


Bedford Regional Medical Center Lawrence County 2900 West 16th Street 2009 Inpatient Discharges: 1,456 Bedford, IN 47421 2009 Outpatient Visits: 17,269 2009 Procedures: 3,606


Reported Totals








Appendix 81


Dunn Memorial Hospital Lawrence County 1600 23rd Street 2009 Inpatient Discharges: 1,957 Bedford, IN 47421 2009 Outpatient Visits: 14,702 2009 Procedures: 3,196


Reported Totals








Appendix 82


Community Hosp. of Anderson & Madison Co Madison County 1515 North Madison Avenue 2009 Inpatient Discharges: 7,567 Anderson, IN 46011 2009 Outpatient Visits: 38,576 2009 Procedures: 12,416


Reported Totals








Appendix 83


St. John’s Health System Madison County 2015 Jackson Street 2009 Inpatient Discharges: 8,042 Anderson, IN 46016 2009 Outpatient Visits: 55,720 2009 Procedures: 17,628


Reported Totals








Appendix 84


St. Vincent Mercy Hospital Madison County 1331 South A Street 2009 Inpatient Discharges: 838 Elwood, IN 46036 2009 Outpatient Visits: 14,919 2009 Procedures: 1,950









Appendix 85


Clarian Health Partners Marion County (Methodist, I.U., Riley Hospitals) 2009 Inpatient Discharges: 56,022 1701 North Senate Blvd. 2009 Outpatient Visits: 168,689 Indianapolis, IN 46206 2009 Procedures: 65,738


Reported Totals

SURGICAL 7 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 7** 5. Intra-operative or post-operative death in a normal, healthy patient 0






TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 18**


Appendix 86


Community Hospitals of Indiana East Marion County 1500 North Ritter Avenue 2009 Inpatient Discharges: 14,606 Indianapolis, IN 46219 2009 Outpatient Visits: 79,390 2009 Procedures: 30,256









Appendix 87

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Community Hospital North Marion County 7150 Clearvista Drive 2009 Inpatient Discharges: 15,242 Indianapolis, IN 46256 2009 Outpatient Visits: 78,067 2009 Procedures: 41,542


Reported Totals








Appendix 88

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Community Hospital South Marion County 1402 East County Line Road South 2009 Inpatient Discharges: 7,557 Indianapolis, IN 46227 2009 Outpatient Visits: 46,772 2009 Procedures: 20,604


Reported Totals








Appendix 89

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Indiana Heart Hospital Marion County 8075 North Shadeland Avenue 2009 Inpatient Discharges: 3,737 Indianapolis, IN 46250 2009 Outpatient Visits: 19,557 2009 Procedures: 4,591


Reported Totals








Appendix 90


Indiana Orthopaedic Hospital Marion County 8400 Northwest Blvd 2009 Inpatient Discharges: 2,500 Indianapolis, IN 46278 2009 Outpatient Visits: 7,569 2009 Procedures: 10,060









Appendix 91

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Kindred Hospital - Indianapolis Marion County 1700 West 10th Street 2009 Inpatient Discharges: 433 Indianapolis, IN 46222 2009 Outpatient Visits: 0 2009 Procedures: 174


Reported Totals








Appendix 92

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Rehabilitation Hospital of Indiana Marion County 4141 Shore Drive 2009 Inpatient Discharges: 1,502 Indianapolis, IN 46254 2009 Outpatient Visits: 0 2009 Procedures: 14









Appendix 93

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Select Specialty Hospital - Beech Grove Marion County 1600 Albany Street, Suite 200 2009 Inpatient Discharges: No Report Beech Grove, IN 46107 2009 Outpatient Visits: No Report 2009 Procedures: No Report


Reported Totals








Appendix 94


St. Vincent Seton Specialty Hospital Marion County 8050 Township Line Road 2009 Inpatient Discharges: No Report Indianapolis, IN 46260 2009 Outpatient Visits: No Report

2009 Procedures: No Report









Appendix 95

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 St. Francis Hospital & Health Centers Marion County 1600 Albany Street 2009 Inpatient Discharges: 10,161 Beech Grove, IN 46107 2009 Outpatient Visits: 53,301 2009 Procedures: 11,789









Appendix 96

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 St. Francis Hospital & Health Centers Marion County 8111 South Emerson Avenue 2009 Inpatient Discharges: 13,336 Indianapolis, IN 46237 2009 Outpatient Visits: 94,220 2009 Procedures: 29,787


Reported Totals








Appendix 97

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 St. Vincent Hospital & Health Services Marion County 2001 West 86th Street 2009 Inpatient Discharges: 35,619 Indianapolis, IN 46260 2009 Outpatient Visits: 134,028 2009 Procedures: 58,650


Reported Totals

SURGICAL 3 1. Surgery performed on the wrong body part 1** 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 2** 5. Intra-operative or post-operative death in a normal, healthy patient 0








Appendix 98

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Westview Hospital Marion County 3630 Guion Road 2009 Inpatient Discharges: 2,078 Indianapolis, IN 46222 2009 Outpatient Visits: 14,642 2009 Procedures: 5,495









Appendix 99


William N. Wishard Memorial Hospital Marion County 1001 West 10th Street 2009 Inpatient Discharges: 19,542 Indianapolis, IN 46202 2009 Outpatient Visits: 122,129 2009 Procedures: 13,798









Appendix 100

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 Community Hospital of Bremen Marshall County 1020 High Road 2009 Inpatient Discharges: 586 Bremen, IN 46506 2009 Outpatient Visits: 8,594 2009 Procedures: 1,671









Appendix 101


Doctors Hospital Marshall County 411 South Whitlock Street 2009 Inpatient Discharges: No Report Bremen, IN 46506 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 102


St. Joseph’s Regional Medical Center Marshall County 1915 Lake Avenue 2009 Inpatient Discharges: 2,831 Plymouth, IN 46563 2009 Outpatient Visits: 18,075 2009 Procedures: 5,337









Appendix 103


Dukes Memorial Hospital Miami County 275 West 12th Street 2009 Inpatient Discharges: 1,749 Peru, IN 46970 2009 Outpatient Visits: 13,897 2009 Procedures: 2,843


Reported Totals








Appendix 104


Bloomington Hospital Monroe County 601 West Second Street 2009 Inpatient Discharges: 14,429 Bloomington, IN 47403 2009 Outpatient Visits: 73,711 2009 Procedures: 18,604









Appendix 105


Monroe Hospital Monroe County 4011 S. Monroe Medical Park Blvd. 2009 Inpatient Discharges: No Report Bloomington, IN 47403 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 106

APPENDIX B

HOSPITAL REPORTABLE EVENTS FOR 2009 St. Clare Medical Center Montgomery County 1710 Lafayette Road 2009 Inpatient Discharges: 2,477 Crawfordsville, IN 47933 2009 Outpatient Visits: 25,644 2009 Procedures: 6,236









Appendix 107


Morgan Hospital & Medical Center Morgan County 2209 John R Wooden Drive 2009 Inpatient Discharges: 2,090 Martinsville, IN 46151 2009 Outpatient Visits: 20,180 2009 Procedures: 4,085









Appendix 108


St. Francis Hospital & Health Centers Morgan County 1201 Hadley Road 2009 Inpatient Discharges: 3,603 Mooresville, IN 46158 2009 Outpatient Visits: 39,129 2009 Procedures: 5,985


Reported Totals








Appendix 109


Parkview Noble Hospital Noble County 401 Sawyer Road 2009 Inpatient Discharges: 2,041 Kendallville, IN 46755 2009 Outpatient Visits: 23,807 2009 Procedures: 3,708


Reported Totals








Appendix 110


Bloomington Hospital of Orange County Orange County 642 West Hospital Road 2009 Inpatient Discharges: 639 Paoli, IN 47454 2009 Outpatient Visits: 13,042 2009 Procedures: 1,290









Appendix 111


Perry County Memorial Hospital Perry County One Hospital Road 2009 Inpatient Discharges: 1,529 Tell City, IN 47586 2009 Outpatient Visits: 14,253 2009 Procedures: 2,161









Appendix 112


Porter Hospital Porter County 814 Laporte Avenue 2009 Inpatient Discharges: 13,872 Valparaiso, IN 46383 2009 Outpatient Visits: 67,828 2009 Procedures: 21,120


Reported Totals








Appendix 113


Pulaski Memorial Hospital Pulaski County 616 East 13th Street 2009 Inpatient Discharges: 867 Winamac, IN 46996 2009 Outpatient Visits: 6,835 2009 Procedures: 1,642


Reported Totals








Appendix 114


Putnam County Hospital Putnam County 1542 Bloomington Street 2009 Inpatient Discharges: 1,322 Greencastle, IN 46135 2009 Outpatient Visits: 14,236 2009 Procedures: 4,422


Reported Totals








Appendix 115


St. Vincent Randolph Hospital Randolph County 473 Greenville Avenue 2009 Inpatient Discharges: 1,363 Winchester, IN 47394 2009 Outpatient Visits: 15,786 2009 Procedures: 2,075


Reported Totals








Appendix 116


Margaret Mary Community Hospital Ripley County 321 Mitchell Avenue 2009 Inpatient Discharges: 2,175 Batesville, IN 47006 2009 Outpatient Visits: 15,790 2009 Procedures: 5,174


Reported Totals








Appendix 117


Rush Memorial Hospital Rush County 1300 North Main Street 2009 Inpatient Discharges: 529 Rushville, IN 46173 2009 Outpatient Visits: 12,279 2009 Procedures: 1,255


Reported Totals








Appendix 118


Memorial Hospital of South Bend St. Joseph County 615 North Michigan Street 2009 Inpatient Discharges: 20,127 South Bend, IN 46601 2009 Outpatient Visits: 72,841 2009 Procedures: 29,541


Reported Totals








Appendix 119


Our Lady of Peace Hospital St. Joseph County 801 East Lasalle Avenue 2009 Inpatient Discharges: 360 South Bend, IN 46617 2009 Outpatient Visits: 0 2009 Procedures: 2


Reported Totals








Appendix 120


Rivercrest Specialty Hospital St. Joseph County 1625 East Jefferson Road 2009 Inpatient Discharges: No Report South Bend, IN 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 121


St. Joseph Regional Medical Center St. Joseph County 801 East Lasalle Avenue 2009 Inpatient Discharges: 16,065 South Bend, IN 46634 2009 Outpatient Visits: 42,928

2009 Procedures: 17,615









Appendix 122


Unity Medical and Surgical Hospital St. Joseph County 4455 Edison Lakes Parkway 2009 Inpatient Discharges: No Report Mishawaka, IN 46545 2009 Outpatient Visits: No Report

2009 Procedures: No Report









Appendix 123


Scott County Memorial Hospital Scott County 1451 North Gardner 2009 Inpatient Discharges: 1,535 Scottsburg, IN 47170 2009 Outpatient Visits: 19,135 2009 Procedures: 2,196


Reported Totals








Appendix 124


Major Hospital Shelby County 150 West Washington Street 2009 Inpatient Discharges: 3,015 Shelbyville, IN 46176 2009 Outpatient Visits: 28,538 2009 Procedures: 5,882


Reported Totals








Appendix 125


Starke Memorial Hospital Starke County 102 East Culver Road 2009 Inpatient Discharges: 836 Knox, IN 46534 2009 Outpatient Visits: 8,980 2009 Procedures: 1,366


Reported Totals








Appendix 126


Cameron Memorial Community Hospital Steuben County 416 East Maumee Street 2009 Inpatient Discharges: 1,266 Angola, IN 46703 2009 Outpatient Visits: 17,343 2009 Procedures: 4,172









Appendix 127


Sullivan County Community Hospital Sullivan County 2200 North Section Street 2009 Inpatient Discharges: 862 Sullivan, IN 47882 2009 Outpatient Visits: 10,238 2009 Procedures: 1,362


Reported Totals








Appendix 128


Clarian-Arnett Health System Tippecanoe County 5165 McCarty Lane 2009 Inpatient Discharges: 7,102 Lafayette, IN 47905 2009 Outpatient Visits: 36,969 2009 Procedures: 15,433


Reported Totals








Appendix 129


Home Hospital Tippecanoe County 2400 South Street 2009 Inpatient Discharges: 9,026 Lafayette, IN 47904 2009 Outpatient Visits: 34,284 2009 Procedures: 11,293









Appendix 130


St. Elizabeth Medical Center Tippecanoe County 1501 Hartford Street 2009 Inpatient Discharges: 4,349 Lafayette, IN 47904 2009 Outpatient Visits: 38,883 2009 Procedures: 7,421









Appendix 131


St. Vincent Seton Specialty Hospital Tippecanoe County 1501 Hartford Street 2009 Inpatient Discharges: No Report Lafayette, IN 47904 2009 Outpatient Visits: No Report 2009 Procedures: No Report


Reported Totals








Appendix 132


Tipton County Memorial Hospital Tipton County 1000 South Main Street 2009 Inpatient Discharges: 1,339 Tipton, IN 46072 2009 Outpatient Visits: 9,294 2009 Procedures: 2,900


Reported Totals








Appendix 133


Deaconess Hospital (incl. Cross Pointe & Gateway) Vanderburgh County 600 Mary Street 2009 Inpatient Discharges: 22,572 Evansville, IN 47747 2009 Outpatient Visits: 97,576 2009 Procedures: 39,357









Appendix 134


Healthsouth Deaconess Rehabilitation Hospital Vanderburgh County 4100 Covert Avenue 2009 Inpatient Discharges: 1,166 Evansville, IN 47714 2009 Outpatient Visits: 0 2009 Procedures: 6


Reported Totals








Appendix 135


Select Specialty Hospital - Evansville Vanderburgh County 400 SE 4th Street 2009 Inpatient Discharges: No Report Evansville, IN 47713 2009 Outpatient Visits: No Report 2009 Procedures: No Report









Appendix 136


St. Mary’s Medical Center Vanderburgh County 3700 Washington Avenue 2009 Inpatient Discharges: 17,522 Evansville, IN 47750 2009 Outpatient Visits: 76,952 2009 Procedures: 35,471


Reported Totals








Appendix 137


Union Hospital – Clinton Vermillion County 801 South Main Street 2009 Inpatient Discharges: 1,361 Clinton, IN 47842 2009 Outpatient Visits: 13,752 2009 Procedures: 1,453


Reported Totals








Appendix 138


Terre Haute Regional Hospital Vigo County 3901 South Seventh Street 2009 Inpatient Discharges: 7,592 Terre Haute, IN 47802 2009 Outpatient Visits: 30,183 2009 Procedures: 12,406


Reported Totals








Appendix 139


Union Hospital Vigo County 1606 North Seventh Street 2009 Inpatient Discharges: 16,040 Terre Haute, IN 47804 2009 Outpatient Visits: 70,998 2009 Procedures: 31,152


Reported Totals








Appendix 140


Wabash County Hospital Wabash County 710 North East Street 2009 Inpatient Discharges: 658 Wabash, IN 46992 2009 Outpatient Visits: 2,419 2009 Procedures: 2,510









Appendix 141


St. Vincent Williamsport Hospital Warren County 412 North Monroe Street 2009 Inpatient Discharges: 853 Williamsport, IN 47993 2009 Outpatient Visits: 15,756 2009 Procedures: 1,741


Reported Totals








Appendix 142


Heart Hospital at Deaconess Gateway Warrick County 4007 Gateway Blvd 2009 Inpatient Discharges: 1,363 Newburgh, IN 47630 2009 Outpatient Visits: 3,973 2009 Procedures: 2,261









Appendix 143


St. Mary’s Warrick Hospital Warrick County 1116 Millis Avenue 2009 Inpatient Discharges: 848 Boonville, IN 47601 2009 Outpatient Visits: 9,234 2009 Procedures: 988


Reported Totals








Appendix 144


Women’s Hospital Warrick County 4199 Gateway Blvd. 2009 Inpatient Discharges: 6,652 Newburgh, IN 47630 2009 Outpatient Visits: 1,496 2009 Procedures: 6,301









Appendix 145


St. Vincent Salem Hospital Washington County 911 North Shelby Street 2009 Inpatient Discharges: 720 Salem, IN 47167 2009 Outpatient Visits: 1,957 2009 Procedures: 2,106


Reported Totals








Appendix 146


Reid Hospital and Health Care Services Wayne County 1401 Chester Blvd 2009 Inpatient Discharges: 10,863 Richmond, IN 47374 2009 Outpatient Visits: 72,399 2009 Procedures: 20,922


Reported Totals








Appendix 147


Bluffton Regional Medical Center Wells County 303 South Main Street 2009 Inpatient Discharges: 2,741 Bluffton, IN 46714 2009 Outpatient Visits: 10,964 2009 Procedures: 4,466


Reported Totals








Appendix 148


White County Memorial Hospital White County 1101 O’Connor Blvd. 2009 Inpatient Discharges: 1,505 Monticello, IN 47960 2009 Outpatient Visits: 14,727 2009 Procedures: 2,046









Appendix 149


Parkview Whitley Hospital Whitley County 353 North Oak Street 2009 Inpatient Discharges: 1,738 Columbia City, IN 46725 2009 Outpatient Visits: 15,010 2009 Procedures: 3,031


Reported Totals








Appendix 150

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 in this report 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 2009. 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 2009. The report was sent in June 2010. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH. In July 2010, 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.

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

436,606

Appendix 151

APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009

CLI Surgery Center Allen County 7747 West Jefferson Blvd. 2009 Procedures: 2,887 Fort Wayne, IN 46804









Appendix 152

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Eye Surgical Center of Fort Wayne Allen County 321 East Wayne Street 2009 Procedures: 2,887 Fort Wayne, IN 46802









Appendix 153


Fort Wayne Cardiology Allen County 1819 Carew Street 2009 Procedures: Fort Wayne, IN 46805









Appendix 154


Fort Wayne Endoscopy Center Allen County 3415 Hobson Road 2009 Procedures: 3,721 Fort Wayne, IN 46805









Appendix 155


Inverness Surgery Center Allen County 8004 Carnegie Blvd. 2009 Procedures: Fort Wayne, IN 46804









Appendix 156


MGFW Surgery Center Allen County 7916 West Jefferson Blvd. 2009 Procedures: Fort Wayne, IN 46804









Appendix 157

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Northeast Indiana Endoscopy Center Allen County 7900 West Jefferson Blvd. 2009 Procedures: Fort Wayne, IN 46804

Closed December 1, 2009









Appendix 158


Neurospine/Pain Surgery Center Allen County 7956 West Jefferson Blvd. 2009 Procedures: 1,630 Fort Wayne, IN 46804









Appendix 159


Premier Surgery Center Allen County 11141 Parkview Plaza Dr. 2009 Procedures: Fort Wayne, IN 46845









Appendix 160


Southwest Surgical Suites Allen County 7920 West Jefferson Blvd. 2009 Procedures: 2,003 Fort Wayne, IN 46804









Appendix 161

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 The Surgery Center Allen County 7900 West Jefferson Blvd, Ste. 102 2009 Procedures: 6,408 Fort Wayne, IN 46804









Appendix 162


Surgery Center of Ophthalmology Allen County 7232 Engle Road 2009 Procedures: 1,201 Fort Wayne, IN 46804









Appendix 163


Surgery One Allen County 5052 North Clinton Street 2009 Procedures: 11,389 Fort Wayne, IN 45825









Appendix 164


Columbus Pain Institute Bartholomew County 2400 North Park, Suite 20 2009 Procedures: 1,653 Columbus, IN 47203









Appendix 165


Columbus Surgery Center Bartholomew County 940 North Marr Road 2009 Procedures: 4,367 Columbus, IN 47201









Appendix 166


Pankratz Eye Institute Bartholomew County 3135 Middle Road 2009 Procedures: 2,107 Columbus, IN 47203









Appendix 167


Vision Surgical Center at Springhill Clark County 302 West 14th Street 2009 Procedures: 4,378 Jeffersonville, IN 47130









Appendix 168

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 American Health Network Delaware County 3631 North Morrison Road, Suite 106 2009 Procedures: 845 Muncie, IN 47304









Appendix 169

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Ball Outpatient Surgery Center Delaware County 2401 W. University Avenue 2009 Procedures: 802 Muncie, IN 47303









Appendix 170

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Central Indiana Orthopedic Surgery Center Delaware County 3600 West Bethel Avenue 2009 Procedures: 3,055 Muncie, IN 47304









Appendix 171


Medical Consultants Endoscopy Center Delaware County 800 South Tillotson Avenue 2009 Procedures: 5,606 Muncie, IN 47304









Appendix 172

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Mid-America Surgery Center Delaware County 6004 Kilgore Avenue 2009 Procedures: Muncie, IN 47304

Closed October 1, 2009









Appendix 173


Muncie Cataract and Laser Eye Center Delaware County 3300 West Purdue Avenue 2009 Procedures: 1,225 Muncie, IN 47304









Appendix 174


Muncie Eye Specialists Surgery Centers Delaware County 200 North Tillotson Avenue 2009 Procedures: 4,909 Muncie, IN 47304









Appendix 175


St. Charles Surgical Pavilion Dubois County 1900 St. Charles Street 2009 Procedures: 2,461 Jasper, IN 47546









Appendix 176


Elkhart Clinic Endoscopy and Surgery Center Elkhart County 2117 West Lexington Avenue 2009 Procedures: 6,725 Elkhart, IN 46514









Appendix 177


Goshen Ambulatory Care Center Elkhart County 1605 Winsted Drive 2009 Procedures: 2,451 Goshen, IN 46526









Appendix 178


OSMC Outpatient Surgery Center Elkhart County 2310 California Road, Suite B 2009 Procedures: Not Reported Elkhart, IN 46514









Appendix 179


Riverpointe Cardiovascular Laboratory Elkhart County 500 Arcade Avenue 2009 Procedures: 300 Elkhart, IN 46514









Appendix 180


Riverpointe Surgery Center Elkhart County 500 Arcade Avenue 2009 Procedures: Elkhart, IN 46514









Appendix 181


Whitewater Valley Surgery Center Fayette County 1475 State Road 44E 2009 Procedures: Connersville, IN










Appendix 182

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Kleinert Kutz Surgery Center Floyd County 3605 Northgate Court 2009 Procedures: 3,019 New Albany, IN 47150









Appendix 183

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Novamed Eye Surgery Center of New Albany Floyd County 520 West First Street 2009 Procedures: 5,676 New Albany, IN 47150









Appendix 184

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Novamed Pain Management of New Albany Floyd County 520 West First Street 2009 Procedures: 2,427 New Albany, IN 47150









Appendix 185

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Southern Indiana Endoscopy Floyd County 825 University Woods Drive 2009 Procedures: 6,407 New Albany, IN 47150









Appendix 186

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Surgical Center of New Albany Floyd County 2201 Green Valley Road 2009 Procedures: 5,123 New Albany, IN 47150









Appendix 187


Oakview Surgical Center Fulton County 120 East 18th Street 2009 Procedures: 98 Rochester, IN 46975









Appendix 188

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 The Surgery Center Gibson County 2030 Sherman Drive 2009 Procedures: 1,940 Princeton, IN 47670









Appendix 189

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Marion Eye Specialists Surgery Center Grant County 711 Gardner Drive 2009 Procedures: 2,059 Marion, IN 46952









Appendix 190

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 River View Surgery Center Grant County 330 North Wabash Avenue 2009 Procedures: 4,871 Marion, IN 46952









Appendix 191

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Aesthetic Surgery Center Hamilton County 13590 North Meridian Street 2009 Procedures: Carmel, IN 46032









Appendix 192

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Beltway Surgery Center Hamilton County 151 Pennsylvania Parkway 2009 Procedures: 19,637 Indianapolis, IN 46280









Appendix 193


Beltway Surgery Center at Spring Mill Hamilton County 200 West 103rd Street 2009 Procedures: Indianapolis, IN 46290









Appendix 194


Carmel Ambulatory Surgery Center Hamilton County 13421 Old Meridian Street 2009 Procedures: 16,020 Carmel, IN 46032









Appendix 195


Digestive Health Center Hamilton County 1120 AAA Way, Suite A 2009 Procedures: 4,324 Carmel, IN 46032









Appendix 196


Endoscopy Center Hamilton County 13421 Old Meridian Street 2009 Procedures: Carmel, IN 46032









Appendix 197


Fishers Ambulatory Surgery Center Hamilton County 13914 State Road 238 East, Suite 200 2009 Procedures: Fishers, IN 46037









Appendix 198


Indiana Endoscopy Centers Hamilton County 10967 Allisonville Road 2009 Procedures: Fishers, IN 46038









Appendix 199


Indiana Surgery Center – Noblesville Hamilton County 9700 East 146th Street 2009 Procedures: 4,647 Noblesville, IN 46060









Appendix 200


Laser and Skin Surgery Center of Indiana Hamilton County 13450 North Meridian Street 2009 Procedures: Carmel, IN 46302

Closed January 13, 2009









Appendix 201


North Meridian Surgery Center Hamilton County 10601 North Meridian Street 2009 Procedures: 2,634 Indianapolis, IN 46290









Appendix 202

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 The Surgery Center of Carmel Hamilton County 12188 North Meridian Street, Suite 150 2009 Procedures: Not Reported Carmel, IN 46032









Appendix 203

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Hancock Surgery Center Hancock County One Memorial Square 2009 Procedures: 4,018 Greenfield, IN









Appendix 204

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Indiana Endoscopy Centers Hendricks County 1115 North Ronald Reagan Parkway 2009 Procedures: Avon, IN 46123









Appendix 205


CLI Surgery Center Howard County 1601 West Lincoln Road 2009 Procedures: 1,670 Kokomo, IN 46904









Appendix 206

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Indiana Surgery Center Howard County 3503 South Reed Road 2009 Procedures: 5,284 Kokomo, IN 46902









Appendix 207

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Ambulatory Surgery Center at Indiana Eye Clinic Johnson County 30 North Emerson Avenue 2009 Procedures: 3,335 Greenwood, IN 46143









Appendix 208

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Indiana Skin Cancer Ambulatory Surgery Center Johnson County 701 East County Line Road 2009 Procedures: 1,805 Greenwood, IN 46143









Appendix 209

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 South Central Surgery Center Johnson County 5002 East State Road 44 2009 Procedures: 670 Franklin, IN 46131









Appendix 210

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Vincennes Surgery Center Knox County 300 North First Street 2009 Procedures: 4,679 Vincennes, IN 47591









Appendix 211

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Wabash Valley Eye Surgery Center Knox County 2020 Clearview Drive 2009 Procedures: 1,390 Vincennes, IN 47591









Appendix 212

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Grossnickle Eye Center Kosciusko County 2251 Dubois Drive 2009 Procedures: 180 Warsaw, IN 46580









Appendix 213

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Advanced Pain Centers Lagrange County 5355 Commerce Blvd 2009 Procedures: Crown Point, IN 46307










Appendix 214

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 APAC Surgical Center II Lake County 11460 South Broadway 2009 Procedures: 8,997 Crown Point, IN 46307









Appendix 215

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Broadwest Specialty Surgical Center Lake County 315 West 89th Street 2009 Procedures: 2,044 Merrillville, IN 46410









Appendix 216


Calumet Surgery Center Lake County 7847 Calumet Avenue 2009 Procedures: Munster, IN 46321

Closed February 14, 2009









Appendix 217

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 CBC, LLC Lake County 5355 Commerce Blvd. 2009 Procedures: 382 Crown Point, IN 46307









Appendix 218


Center For Specialty Surgery Lake County 1950 45th Street 2009 Procedures: 0 Munster, IN 46321









Appendix 219


Community Surgery Center Lake County 801 MacArthur Blvd. 2009 Procedures: Munster, IN 46321

Closed October 1, 2009









Appendix 220


Grand Park Surgical Center Lake County 1479 East 84th Place 2009 Procedures: Merrillville, IN 46410









Appendix 221


Hammond Community Ambulatory Care Center Lake County 2143 Calumet Ave. 2009 Procedures: 162 Hammond, IN 46394









Appendix 222


IMA Endoscopy Surgicenter Lake County 8895 Broadway 2009 Procedures: 3,381 Merrillville, IN 46410









Appendix 223


Lake Park Surgicare Lake County 7921 Grand Blvd. 2009 Procedures: 5,569 Hobart, IN 46342










Appendix 224


Lakeside Surgery Center Lake County 810 West Chicago Avenue 2009 Procedures: 1,880 East Chicago, IN 46312









Appendix 225

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Merrillville Plaza Surgery Center Lake County 255 East 90th Drive 2009 Procedures: 1,634 Merrillville, IN 46410









Appendix 226

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Merrillville Surgery Center Lake County 101 East 87th Avenue 2009 Procedures: Merrillville, IN 46410










Appendix 227

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Munster Same Day Surgery Lake County 761 45th Street 2009 Procedures: 4,623 Munster, IN 46321









Appendix 228

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Novamed Surgery Center of Merrillville Lake County 8514 Broadway 2009 Procedures: 2,103 Merrillville, IN 46410









Appendix 229

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 White Oak Surgery Center Lake County 1950 45th Street 2009 Procedures: 2,361 Munster, IN 46321









Appendix 230

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Williams Eye Surgery Center Lake County 6836 Hohman Avenue 2009 Procedures: 1,606 Hammond, IN 46324









Appendix 231

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Laporte Medical Group Surgical Center Laporte County 900 I Street 2009 Procedures: 1,977 Laporte, IN 46350









Appendix 232

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Woodland Healthcare Surgicenter Laporte County 8865 West 400 North 2009 Procedures: Michigan City, IN 46360

Closed June 1, 2009









Appendix 233

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Anderson Laser Eye Center Madison County 1931 Brown Street 2009 Procedures: Anderson, IN 46016









Appendix 234

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Community Center For Digestive Care Madison County 1601 Medical Arts Blvd, Suite 300 2009 Procedures: 2,696









Appendix 235


The Care Labs Marion County 8333 Naab Road, Suite 180 2009 Procedures: 1,030 Indianapolis, IN 46260









Appendix 236


Center for Special Surgery Marion County 8805 North Meridian Street 2009 Procedures: Indianapolis, IN 46260









Appendix 237


Central Indiana Surgery Center Marion County 9002 North Meridian Street, Lower Level 2009 Procedures: 3,184 Indianapolis, IN 46260









Appendix 238


Eagle Highlands Surgery Center Marion County 6850 Parkdale Place 2009 Procedures: 6,204 Indianapolis, IN 46254









Appendix 239


The Endoscopy Center at St. Francis Marion County 8051 South Emerson, Suite 150 2009 Procedures: 10,443 Indianapolis, IN 46237









Appendix 240


Foot & Ankle Surgery Center Marion County 8651 Township Line Road 2009 Procedures: 1,417 Indianapolis, IN 46260









Appendix 241


Franciscan Cardiovascular Laboratory Marion County 5330 East Stop 11 Road 2009 Procedures: Indianapolis, IN 46237

Closed August 3, 2009









Appendix 242

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Franciscan Surgery Center Marion County 5255 East Stop 11 Road, Suite 100 2009 Procedures: 9,362 Indianapolis, IN 46237









Appendix 243

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Indiana Orthopaedic Surgery Center Marion County 5255 East Stop 11 Road, Suite 110 2009 Procedures: 6,685 Indianapolis, IN 46237









Appendix 244

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Indiana Surgery Center East Marion County 5445 East 16th Street 2009 Procedures: 8,505 Indianapolis, IN 46218









Appendix 245

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Indiana Surgery Center – North Marion County 8040 Clearvista Parkway 2009 Procedures: 17,453 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 246

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Indiana Surgery Center – South Marion County 1550 East County Line Road South 2009 Procedures: 10,198 Indianapolis, IN 46227









Appendix 247

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Indiana Endoscopy Centers Marion County 1801 North Senate Blvd. 2009 Procedures: 8,773 Indianapolis, IN 46202









Appendix 248


Indianapolis Endoscopy Center Marion County 8315 East 56th Street 2009 Procedures: 10,272 Indianapolis, IN









Appendix 249

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Meridian Plastic Surgery Center Marion County 170 West 106th Street 2009 Procedures: 3,474 Indianapolis, IN 46290









Appendix 250

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Naab Road Surgery Center Marion County 8260 Naab Road 2009 Procedures: 8,764 Indianapolis, IN 46260









Appendix 251

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Northside Cardiac Cath Lab Marion County 8333 Naab Road, #180 2009 Procedures: 4,352 Indianapolis, IN 46260









Appendix 252

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Northside Gastroenterology Endoscopy Center Marion County 8424 Naab Road 2009 Procedures: 11,074 Indianapolis, IN 46260









Appendix 253

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Senate Street Surgery Center Marion County 1801 North Senate Boulevard 2009 Procedures: 4,148 Indianapolis, IN 46202









Appendix 254

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 South Emerson Surgery Center Marion County 8141 South Emerson Avenue, Suite C 2009 Procedures: 2,894 Indianapolis, IN 46237









Appendix 255

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Surgery Center Marion County 8501 Harcourt Road 2009 Procedures: 10,721 Indianapolis, IN 46280









Appendix 256

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 The Surgery Center of Indianapolis Marion County 2007 North Capitol Avenue 2009 Procedures: 2,915 Indianapolis, IN 46202









Appendix 257

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Surgery Center of Eye Specialists of Indiana Marion County 1901 North Meridian Street 2009 Procedures: 7,989 Indianapolis, IN 46202









Appendix 258


Surgery Center Plus Marion County 7430 North Shadeland Avenue, Suite 100 2009 Procedures: Indianapolis, IN 46250









Appendix 259


Surgical Care Center Marion County 8103 Clearvista Parkway 2009 Procedures: 4,365 Indianapolis, IN 46256









Appendix 260


Sycamore Springs Surgery Center Marion County 4715 Statesmen Drive, Suite A 2009 Procedures: 4,076 Indianapolis, IN 46250









Appendix 261


Women’s Physician Surgery Center Marion County 8081 Township Line Road 2009 Procedures: 1,261 Indianapolis, IN 46260









Appendix 262


Bloomington Endoscopy Center Monroe County 550 Landmark Avenue 2009 Procedures: 6,275 Bloomington, IN 47402









Appendix 263


Bloomington Surgery Center Monroe County 1011 West Second Street 2009 Procedures: 3,853 Bloomington, IN 47403









Appendix 264


Center for Advanced Laparoscopic/Bariatric Center Monroe County 506 West Second Street 2009 Procedures: 220 Bloomington, IN 47403









Appendix 265


Indiana Specialty Surgery Center Monroe County 1380 West Arch Haven Ave. 2009 Procedures: 5,924 Bloomington, IN 47403









Appendix 266


Southern Indiana Surgery Center Monroe County 2800 Rex Grossman Blvd 2009 Procedures: Bloomington, IN 47403









Appendix 267


Surgery Center for Pain of Southern Indiana Monroe County 2920 McIntire Drive, Suite 150 2009 Procedures: 49 Bloomington, IN 47403









Appendix 268


Surgicare Monroe County 2907 McIntire Drive, Suite C 2009 Procedures: 6,602 Bloomington, IN 47403









Appendix 269


Mooresville Endoscopy Morgan County 1215 Hadley Rd., Ste 101 2009 Procedures: 712 Mooresville, IN 46158









Appendix 270


Endolabs Porter County 2206 North Roosvelt Road 2009 Procedures: 4,003 Valparaiso, IN 46383









Appendix 271


Lakeshore Surgicare Porter County 3111 Village Pointe 2009 Procedures: 5,177 Chesterton, IN 46304









Appendix 272


Allied Physicians Surgery Center St. Joseph County 53990 Carmichael Drive 2009 Procedures: 23,342 South Bend, IN 46635









Appendix 273


Memorial Spine & Neuroscience Center St. Joseph County 100 Navarre Place 2009 Procedures: 1,681 South Bend, IN 46601


Reported Totals








Appendix 274


Michiana Endoscopy Center St. Joseph County 53830 Generations Drive 2009 Procedures: South Bend, IN 46635









Appendix 275


South Bend Clinic & Surgicenter St. Joseph County 211 North Eddy Street 2009 Procedures: 8,755 South Bend, IN 46617









Appendix 276


Unity Surgical Arts Surgery Center St. Joseph County 4455 Edison Lakes Parkway 2009 Procedures: Mishawaka, IN 46545









Appendix 277


Sullivan Surgicenter Sullivan County 320 North Section Street 2009 Procedures: 642 Sullivan, IN 47882









Appendix 278


Advanced Surgery Center Tippecanoe County 1400 Teal Road 2009 Procedures: 3,116 Lafayette, IN 47905









Appendix 279


Arnett Surgery Center Tippecanoe County 1327 South 500 East 2009 Procedures: Lafayette, IN 47905

Closed November 10, 2009









Appendix 280


North Central Health Services Tippecanoe County 201 Main Street, Suite 606 2009 Procedures: 337 Lafayette, IN 47904









Appendix 281


Sagamore Surgical Services Tippecanoe County 2320 Concord Road, Suite B 2009 Procedures: 1,657 Lafayette, IN 47909









Appendix 282


Unity Surgical Center Tippecanoe County 1411 South Creasy Lane 2009 Procedures: 13,775 Lafayette, IN









Appendix 283

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Ambulatory Surgery Center for Pain Relief Vanderburgh County 2330 Lynch Road, Suite 100B 2009 Procedures: 0 Evansville, IN 47711









Appendix 284


Crescent City Surgery Center Vanderburgh County 220 East Virginia Street 2009 Procedures: 2,539 Evansville, IN 47711









Appendix 285


Evansville Surgery Center –Deaconess Hospital Vanderburgh County 520 Mary Street, Suite 130 2009 Procedures: 6,914 Evansville, IN 47710









Appendix 286


Eyecare Consultants Surgery Center Vanderburgh County 101 NW First Street 2009 Procedures: 2,192 Evansville, IN 47708









Appendix 287


Eye Care Surgery Center of Evansville Vanderburgh County 6540 Logan Drive 2009 Procedures: Evansville, IN 47715









Appendix 288


Gastrointestinal Endoscopy Center Vanderburgh County 801 St. Mary’s Drive 2009 Procedures: 9,767 Evansville, IN 47714









Appendix 289


St. Mary’s Freestanding Cath Lab Vanderburgh County 3700 Washington Avenue 2009 Procedures: Evansville, IN 47750










Appendix 290

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Welborn Clinic Surgery Center Vanderburgh County 421 Chestnut Street 2009 Procedures: Evansville, IN 47713










Appendix 291

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 St. Vincent Surgery Center of Terre Haute Vigo County 227 East McCallister Drive 2009 Procedures: Terre Haute, IN 47802









Appendix 292

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Terre Haute Heart Center Outpatient Cath Lab Vigo County 455 East Hospital Lane 2009 Procedures: 472 Terre Haute, IN 47802









Appendix 293

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Evansville Surgery Center, Gateway Warrick County 4133 Gateway Blvd 2009 Procedures: 4,773 Newburgh, IN 47630









Appendix 294

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Reid Outpatient Surgery and Endoscopy Wayne County 1350 Chester Blvd 2009 Procedures: Richmond, IN 47374

Closed July 1, 2009









Appendix 295

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Tower Specialty Surgery Wayne County 1400 Highland Road, Suite 2 2009 Procedures: 2,109 Richmond, IN 47374









Appendix 296

APPENDIX C

AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2009 Whitewater Surgery Center Wayne County 1900 Chester Blvd 2009 Procedures: 552 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 297

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 2009. The report was sent in June 2010. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH. In July 2010, 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 298

APPENDIX D ABORTION CLINICS REPORTABLE EVENTS FOR 2009

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









Appendix 299


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









Appendix 300


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









Appendix 301


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









Appendix 302


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









Appendix 303


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









Appendix 304


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









Appendix 305


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









Appendix 306


Women’s Pavilion St. Joseph County 2010 Ironwood Circle South Bend, IN 46635









Appendix 307

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 2009. The report was sent in June, 2010. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH.

Appendix 308

APPENDIX E BIRTHING CENTERS REPORTABLE EVENTS FOR 2009

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









Appendix 309


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









Appendix 310


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









Appendix 311


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









appendix a summary of facilities reporting events for … · 2020. 3. 27. · summary of facilities...

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