The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Staten Island University Hospital
DBA: Hospital
Org ID: 4979
475 Seaview Avenue
Staten Island, NY  10305
(718)226-9000
www.siuh.edu


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Behavioral Health Care
Accredited 9/12/2014 9/11/2014   9/11/2014  
Home Care
Accredited 10/20/2011 9/10/2014   9/10/2014  
Hospital
Accredited 10/22/2011 9/12/2014   9/12/2014  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Hospital





Other Accredited Programs / Services
Hospital  -  Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)


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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 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.
10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
11. There were no eligible patients that met the denominator criteria.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Behavioral Health Care
2014 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
Home Care
2011 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
Hospital
2014 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Jan  2013 -
Dec  2013
Heart Attack Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Heart Failure Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Pneumonia Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Blood Vessel Surgery
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Colon/Large Intestine Surgery
See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Coronary Artery Bypass Graft
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hip Joint Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hysterectomy
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Knee Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Open Heart Surgery
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
 
National Quality Forum 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
Bay Street Health Center
DBA:  Hospital Owned Outpatient Site
57 Bay Street
Staten Island, NY  10301
    Services:
    • Outpatient Clinics (Outpatient)
    • Pediatric Dentistry (Outpatient - Child/Youth)
    Center for Women's Health
    DBA:  Hospital owned outpatient site
    440 Seaview Avenue
    Staten Island, NY  10305
      Services:
      • Outpatient Clinics (Outpatient)
      Medical Arts Pavillion
      DBA:  Hospital owned outpatient site
      242 Mason Ave
      Staten Island, NY  10305
        Services:
        • Outpatient Clinics (Outpatient)
        • Pediatric Ophthalmology (Outpatient - Child/Youth)
        • Pediatric Otolaryngology (Outpatient - Child/Youth)
        • Pediatric Urology (Outpatient - Child/Youth)
        Nalitt Institute
        256 Mason Avenue
        Staten Island, NY  10305
          Services:
          • Administration of High Risk Medications (Outpatient)
          • Outpatient Clinics (Outpatient)
          Staten Island University Hospital
          392 Seguine Avenue
          Staten Island, NY  10309
            Services:
            • Behavioral Health (Non 24 Hour Care - Adult)
            • Chemical Dependency (Non 24 Hour Care - Adult)
            • Community Integration (Non 24 Hour Care)
            • Family Support (Non 24 Hour Care)
            • Peer Support (Non 24 Hour Care)
            Staten Island University Hospital (South Site)
            DBA:  Hospital
            375 Sequine Avenue
            Staten Island, NY  10309
              Services:
              • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
              • Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Adult)
              • Community Integration (Non 24 Hour Care)
              • Coronary Care Unit (Inpatient)
              • CT Scanner (Imaging/Diagnostic Services)
              • Ear/Nose/Throat Surgery (Surgical Services)
              • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
              • Family Support (Non 24 Hour Care)
              • Gastroenterology (Surgical Services)
              • Gynecological Surgery (Surgical Services)
              • Inpatient Unit (Inpatient)
              • Interventional Radiology (Imaging/Diagnostic Services)
              • Medical /Surgical Unit (Inpatient)
              • Medical Detoxification (Inpatient)
              • Medical ICU (Intensive Care Unit)
              • Nuclear Medicine (Imaging/Diagnostic Services)
              • Ophthalmology (Surgical Services)
              • Outpatient Clinics (Outpatient)
              • Plastic Surgery (Surgical Services)
              • Post Anesthesia Care Unit (PACU) (Inpatient)
              • Sleep Laboratory (Sleep Laboratory)
              • Ultrasound (Imaging/Diagnostic Services)
              • Urology (Surgical Services)
              Staten Island University Hospital
              450 Seaview Avenue
              Staten Island, NY  10305
                Services:
                • Behavioral Health (Day Programs - Adult)
                  (Non 24 Hour Care - Adult)
                  (Partial - Adult)
                • Community Integration (Non 24 Hour Care)
                • Family Support (Non 24 Hour Care)
                • Peer Support (Non 24 Hour Care)
                Staten Island University Hospital
                DBA:  Hospital
                777 Seaview Avenue
                Staten Island, NY  10305
                Other Clinics/Practices located at this site:
                • Inpatient Psychiatry
                Services:
                • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
                • Community Integration (Non 24 Hour Care)
                • Family Support (Non 24 Hour Care)
                Staten Island University Hospital - University Hospice
                78 Meisner Avenue
                Staten Island, NY  10306
                Other Clinics/Practices located at this site:
                • University Hospice
                Services:
                • Hospice Care
                Staten Island University Hospital Burn Outpatient Clinic
                500 Seaview Avenue
                Staten Island, NY  10305
                  Services:
                  • Outpatient Clinics (Outpatient)
                  Staten Island Univesity Hospital (North)  *
                  DBA:  Hospital
                  475 Seaview Avenue
                  Staten Island, NY  10305
                    Services:
                    • Burn Unit (Inpatient)
                    • Cardiac Catheterization Lab (Surgical Services)
                    • Cardiac Surgery (Surgical Services)
                    • Cardiothoracic Surgery (Surgical Services)
                    • Cardiovascular Unit (Inpatient)
                    • Coronary Care Unit (Inpatient)
                    • CT Scanner (Imaging/Diagnostic Services)
                    • Dialysis Unit (Inpatient)
                    • Ear/Nose/Throat Surgery (Surgical Services)
                    • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
                    • Gastroenterology (Surgical Services)
                    • Gynecological Surgery (Surgical Services)
                    • Gynecology (Inpatient)
                    • Hematology/Oncology Unit (Inpatient)
                    • Inpatient Unit (Inpatient)
                    • Interventional Radiology (Imaging/Diagnostic Services)
                    • Labor & Delivery (Inpatient)
                    • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
                    • Medical /Surgical Unit (Inpatient)
                    • Medical ICU (Intensive Care Unit)
                    • Neuro/Spine Unit (Inpatient)
                    • Neurosurgery (Surgical Services)
                    • Normal Newborn Nursery (Inpatient)
                    • Nuclear Medicine (Imaging/Diagnostic Services)
                    • Ophthalmology (Surgical Services)
                    • Orthopedic Surgery (Surgical Services)
                    • Pediatric Unit (Inpatient)
                    • Plastic Surgery (Surgical Services)
                    • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
                    • Post Anesthesia Care Unit (PACU) (Inpatient)
                    • Radiation Oncology (Imaging/Diagnostic Services)
                    • Rehabilitation Unit (Inpatient, 24-hour Acute Care/Crisis Stabilization)
                    • Sleep Laboratory (Sleep Laboratory)
                    • Surgical ICU (Intensive Care Unit)
                    • Surgical Unit (Inpatient)
                    • Thoracic Surgery (Surgical Services)
                    • Ultrasound (Imaging/Diagnostic Services)
                    • Urology (Surgical Services)
                    • Vascular Surgery (Surgical Services)
                    Verrazzano Imaging at Staten Island University Hospital
                    256 Mason Avenue
                    Staten Island, NY  10305
                      Services:
                      • Single Specialty Practitioner (Outpatient)

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