The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Beth Israel Deaconess Hospital Plymouth
Org ID: 5603
275 Sandwich Street
Plymouth, MA  02360
(508)746-2000
http://www.bidplymouth.org/


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Home Care
Accredited 3/7/2013 3/6/2013   3/6/2013  
Hospital
Accredited 3/8/2013 3/7/2013   3/7/2013  


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





Special Quality Awards


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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
Home Care
2013 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
2013 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 similar to the target range/value.
This organization’s performance is similar to 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 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 similar to the target range/value.
This organization’s performance is similar to 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.
  • 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 similar to 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.
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
Beth Israel Deaconess Hospital-Plymouth  *
275 Sandwich Street
Plymouth, MA  02360
    Services:
    • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
    • Brachytherapy (Imaging/Diagnostic Services)
    • Cardiac Catheterization Lab (Surgical Services)
    • Cardiovascular Unit (Inpatient)
    • Coronary Care Unit (Inpatient)
    • CT Scanner (Imaging/Diagnostic Services)
    • Ear/Nose/Throat Surgery (Surgical Services)
    • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
    • Gastroenterology (Surgical Services)
    • 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)
    • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
    • Medical /Surgical Unit (Inpatient)
    • Medical ICU (Intensive Care Unit)
    • Neurosurgery (Surgical Services)
    • Normal Newborn Nursery (Inpatient)
    • Nuclear Medicine (Imaging/Diagnostic Services)
    • Ophthalmology (Surgical Services)
    • Orthopedic Surgery (Surgical Services)
    • Orthopedic/Spine Unit (Inpatient)
    • Outpatient Clinics (Outpatient)
    • 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)
    • 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)
    Beth Israel Deaconess Hospital-Plymouth Imaging at the Park
    45 Resnick Road, Suite 1400, Office 106
    Plymouth, MA  02360
      Services:
      • Outpatient Clinics (Outpatient)
      Beth Israel Deaconess Hospital-Plymouth Rehabilitation
      Pine Hills, 3 Village Green North, 3rd Flr, Ste 331
      Plymouth, MA  02360
        Services:
        • Outpatient Clinics (Outpatient)
        Beth Israel Deaconess Hospital-Plymouth Rehabilitation
        10 Cordage Park Circle, Suite 225
        Plymouth, MA  02360
          Services:
          • Outpatient Clinics (Outpatient)
          Beth Israel Deaconess Hospital-Plymouth Sleep Center
          45 Resnik Road
          Plymouth, MA  02360
            Services:
            • Outpatient Clinics (Outpatient)
            Beth Israel Deaconess Lab
            46 Obery St
            Plymouth, MA  02360
              Services:
              • Laboratory Draw Station (Outpatient)
              Cape Lab Drawing Station
              83 Route 130
              Sandwich, MA  02563
                Services:
                • Laboratory Draw Station (Outpatient)
                Cranberry Hospice
                36 Cordage Park Circle Suite 326
                Plymouth, MA  02360
                  Services:
                  • Hospice Care
                  Diabetes Education
                  36 Cordage Park Circle, Suite 314
                  Plymouth, MA  02360
                    Services:
                    • Outpatient Clinics (Outpatient)
                    Duxbury Lab Drawing Station
                    95 Tremont Street
                    Duxbury, MA  02331
                      Services:
                      • Laboratory Draw Station (Outpatient)
                      Industrial Park Lab Drawing Station
                      45 Resnik Road, Suite 101
                      Plymouth, MA  02360
                        Services:
                        • Laboratory Draw Station (Outpatient)
                        Long Pond Lab Drawing Station
                        110 Long Pond Road
                        Plymouth, MA  02360
                          Services:
                          • Laboratory Draw Station (Outpatient)

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