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Quality Report
Summary of Quality Information |
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Accreditation
Programs
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Accreditation
Decision
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Effective
Date
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Last Full Survey Date |
Last On-Site Survey Date |
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Accredited
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6/30/2010 |
5/8/2013
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5/8/2013
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Accredited
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7/2/2010 |
5/10/2013
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5/10/2013
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Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
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| Hospital |
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Advanced Certification
Programs
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Certification
Decision
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Effective
Date
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Last Full
Review Date
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Last On-Site
Review Date
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Primary Stroke Center |
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Certification |
6/21/2011
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6/20/2011
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6/20/2011
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Certified
Programs
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Certification
Decision
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Effective
Date
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Last Full
Review Date
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Last On-Site
Review Date
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Joint Replacement - Hip |
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Certification |
6/5/2012
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6/4/2012
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6/4/2012
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Joint Replacement - Knee |
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Certification |
6/5/2012
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6/4/2012
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6/4/2012
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Symbol Key |
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This organization
achieved the best possible results
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This organization’s performance is above the target range/value. |
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This organization’s performance is similar to the target range/value. |
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This organization’s performance is below the target range/value. |
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This measure is not applicable for this organization.
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Not displayed |
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Footnote Key |
| 1. |
The measure or measure set was not reported. |
| 2. |
The measure set does not have
an overall result.
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| 3. |
The number is not
enough for comparison
purposes.
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| 4. |
The measure meets the Privacy Disclosure Threshold
rule.
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| 5. |
The organization scored above
90% but was below most other
organizations.
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| 6. |
The measure results are not
statistically valid.
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| 7. |
The measure results are based
on a sample of patients.
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| 8. |
The number of months with
measure data is below the reporting requirement.
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| 9. |
The measure results are temporarily suppressed pending resubmission of updated data. |
| 10. |
Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement. |
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| National Patient Safety Goals and National Quality Improvement Goals |
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Compared to
other Joint Commission Accredited Organizations
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Nationwide
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Statewide
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| Behavioral Health Care |
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*
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| Hospital |
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*
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National Quality Improvement Goals: |
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Reporting Period:
Oct
2011
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Sep
2012 |
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| Surgical Care Improvement Project (SCIP) |
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| SCIP - Infection Prevention For All Reported Procedures:
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See Detail
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3
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3
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Survey of Patients' Hospital Experiences (see details)
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Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
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Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
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The Joint Commission only reports measures endorsed by the National Quality Forum.
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| * |
State results are not calculated for the National Patient Safety Goals. |
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* Primary Location
An organization may provide services not listed here. For more information refer to the
Quality Report User Guide
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| Locations of Care |
Available Services |
Alta Bates Summit Medical Center - 3011 Telegraph Avenue
3011 Telegraph Avenue
Berkeley, CA 94705
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Services:
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- Outpatient Clinics (Outpatient)
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Alta Bates Summit Medical Center - 3030 Telegraph Avenue
3030 Telegraph Avenue
Berkeley, CA 94705
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Services:
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- Outpatient Clinics (Outpatient)
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Alta Bates Summit Medical Center - 5700 Telegraph Avenue
5700 Telegraph Avenue
Oakland, CA 94609
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Services:
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- Outpatient Clinics (Outpatient)
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Alta Bates Summit Medical Center - 5730 Telegraph Avenue
5730 Telegraph Ave.
Oakland, CA 94609
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Services:
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- Outpatient Clinics (Outpatient)
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Alta Bates Summit Medical Center - Alta Bates campus *
2450 Ashby Avenue
Berkeley, CA 94705
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Joint Commission Advanced Certification Programs:
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Joint Commission Certified Programs:
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- Joint Replacement - Hip
- Joint Replacement - Knee
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Services:
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- CT Scanner (Imaging/Diagnostic Services)
- Ear/Nose/Throat Surgery (Surgical Services)
- EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
- Gastroenterology (Surgical Services)
- General Laboratory Tests
- GI or Endoscopy Lab (Imaging/Diagnostic Services)
- Gynecological Surgery (Surgical Services)
- Gynecology (Inpatient)
- Hematology/Oncology Unit (Inpatient)
- Interventional Radiology (Imaging/Diagnostic Services)
- Labor & Delivery (Inpatient)
- Medical /Surgical Unit (Inpatient)
- Medical ICU (Intensive Care Unit)
- Neurosurgery (Surgical Services)
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- Normal Newborn Nursery (Inpatient)
- Nuclear Medicine (Imaging/Diagnostic Services)
- Orthopedic Surgery (Surgical Services)
- Orthopedic/Spine Unit (Inpatient)
- Plastic Surgery (Surgical Services)
- Post Anesthesia Care Unit (PACU) (Inpatient)
- Surgical ICU (Intensive Care Unit)
- Surgical Unit (Inpatient)
- Teleradiology (Imaging/Diagnostic Services)
- Thoracic Surgery (Surgical Services)
- Ultrasound (Imaging/Diagnostic Services)
- Urology (Surgical Services)
- Vascular Surgery (Surgical Services)
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Alta Bates Summit Medical Center - Herrick campus
2001 Dwight Way
Berkeley, CA 94704
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Services:
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- Behavioral Health (Day Programs - Adult/Child/Youth)
(24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
(Partial - Adult/Child/Youth)
- Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Child/Youth)
- Eating Disorders/Adult/Child/Youth)
(Inpatient - Adult/Child/Youth)
(Outpatient - Adult/Child/Youth)
(Day Programs - Adult/Child/Youth)
(Non 24 Hour Care - Adult/Child/Youth)
(24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
(Partial - Adult/Child/Youth)
- Family Support (Non 24 Hour Care)
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- General Laboratory Tests
- Peer Support (Non 24 Hour Care)
- Radiation Oncology (Imaging/Diagnostic Services)
- Ultrasound (Imaging/Diagnostic Services)
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Alta Bates Summit Medical Center - Lafayette Women's Health
3595 Mount Diablo Blvd. Suite 350
Lafayette, CA 94549
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Services:
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- Outpatient Clinics (Outpatient)
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