QualityReport

Accreditation Quality Report
>	Summary of Accreditation Quality Information
>	Accredited Programs
>	Accreditation National Patient Safety Goals
>	Sites and Services
>	Accreditation History
>	Download Accreditation PDF Report
>	Download Accreditation PDF Report - Include Quarterly Data
>	Accreditation Quality Report User Guide
Additional Links
>	The Joint Commission
>	International Center for Patient Safety
>	Joint Commission International

Quality Report

Summary of Accreditation Quality Information

Doctors Hospital
Org ID: 397312
5000 University Drive
Coral Gables, FL 33146
(786)308-3000

Accreditation Decision: Accredited	Decision Effective Date: February 17, 2007
This organization is in full compliance with all applicable standards.

Accredited Programs	Last Full Survey Date	Last On-Site Survey Date
Hospital	2/16/2007	2/16/2007

Special Quality Awards

2007 ACS National Surgical Quality Improvement Program

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	Symbol Key
	This organization achieved the best possible results
	This organization’s performance is above the target range/value.
	This organization’s performance is similar to the target range/value.
	This organization’s performance is below the target range/value.
	This measure is not applicable for this organization.
	Not displayed

	Footnote Key
1.	The measure or measure set was not reported.
2.	The measure set does not have an overall result.
3.	The number of patients is not enough for comparison purposes.
4.	The measure meets the Privacy Disclosure Threshold rule.
5.	The organization scored above 90% but was below most other organizations.
6.	The measure results are not statistically valid.
7.	The measure results are based on a sample of patients.
8.	The number of months with measure data is below the reporting requirement.
9.	The measure results are temporarily suppressed pending resubmission of updated data.

National Patient Safety Goals and National Quality Improvement Goals

Compared to other Joint Commission Accredited Organizations

Nationwide

Statewide

Hospital

2007 National Patient Safety Goals

See Detail

National Quality Improvement Goals:

Reporting Period:
Jul 2008 -
Jun 2009

Heart Attack Care

See Detail

Heart Failure Care

See Detail

Pneumonia Care

See Detail

Surgical Care Improvement Project (SCIP)

SCIP - Cardiac

See Detail

SCIP - Infection Prevention

For All Reported Procedures:

See Detail

Blood Vessel Surgery

See Detail

Colon/Large Intestine Surgery

See Detail

Coronary Artery Bypass Graft

See Detail

Hip Joint Replacement

See Detail

Hysterectomy

See Detail

Knee Replacement

See Detail

Open Heart Surgery

See Detail

SCIP – Venous Thromboembolism (VTE)

See Detail

30 Day Risk Adjusted Mortality Rates (see details)

30 Day Hospital Readmission Rates (see details)

Survey of Patients' Hospital Experiences (see details)

Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
	The Joint Commission only reports measures endorsed by the National Quality Forum.

*	State results are not calculated for the National Patient Safety Goals.

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Sites and Services

* Primary Location

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

Locations of Care

Available Services

Doctors Hospital *
5000 University Drive
Coral Gables, FL 33146

CT Scanner (Inpatient, Outpatient)
Dialysis (Inpatient)
EEG/EKG/EMG Lab (Inpatient, Outpatient)
Emergency Room (Outpatient)
Endocrinology (Inpatient, Outpatient)
Gastroenterology (Inpatient, Outpatient)
General Medical Services (Inpatient, Outpatient)
General Surgery (Inpatient, Outpatient)
GI or Endoscopy Lab (Inpatient, Outpatient)
Imaging/Radiology (Inpatient, Outpatient)
Infusion Services (Outpatient)
Intensive Care Unit (Inpatient)
Internal Medicine (Inpatient, Outpatient)
Magnetic Resonance Imaging (Inpatient, Outpatient)
Nephrology (Inpatient, Outpatient)
Neurology (Inpatient, Outpatient)
Neurosurgery (Inpatient)

Nuclear Medicine (Inpatient, Outpatient)
Operating Room (Inpatient, Outpatient)
Orthopedic Surgery (Inpatient, Outpatient)
Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
Outpatient Surgery (Outpatient)
Pain Management (Inpatient, Outpatient)
Plastic Surgery (Inpatient, Outpatient)
Podiatry (Inpatient, Outpatient)
Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
Pulmonary Function Lab (Inpatient, Outpatient)
Rehabilitation (Inpatient, Outpatient)
Telemetry (Inpatient)
Ultrasound (Inpatient, Outpatient)
Urology (Inpatient, Outpatient)
Vascular Surgery (Inpatient, Outpatient)
Wound Care (Inpatient, Outpatient)

Medical Office Building
1150 Campo Sano
Coral Gables, FL 33146

General Outpatient Services (Outpatient)

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