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Quality Report

Summary of Accreditation Quality Information
Cambridge Public Health Commission
Org ID: 5532
1493 Cambridge Street
Cambridge, MA  02139
(617)665-1001
www.challiance.org
Accreditation Decision: Accredited
Decision Effective Date: October 07, 2008
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Hospital 10/6/2008 10/6/2008  


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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
2008 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  2009 -
Dec  2009
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 similar to the target range/value.
This organization’s performance is similar to the target range/value.
Pneumonia Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to 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
Not displayed.
3
Not displayed.
3
  • 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.
  • Hip Joint Replacement
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Hysterectomy
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Knee Replacement
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
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.
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
Anna May Powers Health Center
20 Nichols Street
Everett, MA  02149
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Broadway Health Center
300 Broadway
Somerville, MA  02145
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Cambridge Family Health
237 Hampshire Street
Cambridge, MA  02139
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Cambridge Family North
2067 Massachusetts Avenue
Cambridge, MA  02140
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Cambridge Health Alliance
230 Highland Ave
Somerville, MA  02143
  • Anesthesia (Outpatient)
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Cambridge Health Alliance  *
1493 Cambridge Street
Cambridge, MA  02139
  • Addiction Care (Outpatient)
  • Alcohol & Drug Rehabilitation (Outpatient)
  • Audiology (Outpatient)
  • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
    (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Electroconvulsive Therapy (Inpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Laboratory Tests
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Inpatient Intake (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Medical Detoxification (Inpatient)
  • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Outpatient)
  • Oral Maxillofacial Surgery (Inpatient)
  • 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 and Physical Medicine (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)
Cambridge Health Alliance
103 Garland Street
Everett, MA  02149
  • Alcohol & Drug Rehabilitation (Outpatient)
  • Allergy (Outpatient)
  • Audiology (Outpatient)
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
  • Cancer Center/Oncology (Outpatient)
  • CT Scanner (Outpatient)
  • EEG/EKG/EMG Lab (Outpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Outpatient)
  • Gastroenterology (Outpatient)
  • General Laboratory Tests
  • General Medical Services (Outpatient)
  • General Surgery (Outpatient)
  • GI or Endoscopy Lab (Outpatient)
  • Hematology/Blood Treatment (Outpatient)
  • Imaging/Radiology (Outpatient)
  • Infectious Diseases (Outpatient)
  • Infusion Therapy (Outpatient)
  • Internal Medicine (Outpatient)
  • Magnetic Resonance Imaging (Outpatient)
  • Nephrology (Outpatient)
  • Neurology (Outpatient)
  • Nuclear Medicine (Outpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Outpatient)
  • Ophthalmology/Eye Surgery (Outpatient)
  • Orthopedic Surgery (Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Outpatient)
  • Plastic Surgery (Outpatient)
  • Podiatry (Outpatient)
  • Post Anesthesia Care Unit (PACU) (Outpatient)
  • Pulmonary Function Lab (Outpatient)
  • Rehabilitation and Physical Medicine (Outpatient)
  • Rheumatology (Outpatient)
  • Ultrasound (Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Outpatient)
  • Vascular Surgery (Outpatient)
  • Wound Care (Outpatient)
Cambridge Health Alliance Malden Family Medicine Center
195 Canal Street
Malden, MA  02148
  • General Outpatient Services (Outpatient)
Center for Child and Adolescent Development
101 Stations Landing
Medford, MA  02155
  • Behavioral Health (Non 24 Hour Care - Child/Youth)
  • General Outpatient Services (Outpatient)
Central Street Health Center
26 Central Street
Somerville, MA  02143
  • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
  • Case Management (Non 24 Hour Care - Adult)
  • Chemical Dependency (Day Programs - Adult)
    (Non 24 Hour Care - Adult)
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
East Cambridge Health Center
163 Gore Street
Cambridge, MA  02139
  • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Everett Teen Health Center
100 Elm Street
Everett, MA  02149
  • General Outpatient Services (Outpatient)
Occupational Health and Orthopaedics Center
Assembly Sq.,5 Middlesex Avenue
Somerville, MA  02145
  • General Outpatient Services (Outpatient)
  • Single Specialty Practitioner (Outpatient)
Revere Family Health Center
454 Broadway
Revere, MA  02151
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Riverside Health Center
205 Western Avenue
Cambridge, MA  02139
  • General Outpatient Services (Outpatient)
The Eye Center
65 Beacon Street
Somerville, MA  02143
  • Single Specialty Practitioner (Outpatient)
The Teen Connection
Somerville High Sch, 81 Highland Avenue
Somerville, MA  02143
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
The Teen Health Center
Cambridge Ridge & Latin Sch,495 Broadway
Cambridge, MA  02138
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Union Square Family Health
337 Somerville Avenue
Somerville, MA  02143
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Windsor Street Health Center
119 Windsor Street
Cambridge, MA  02139
  • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)

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