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Quality Report

Summary of Quality Information
Middlesex Hospital
Org ID: 5673
28 Crescent Street
Middletown, CT  06457
(860)358-6000
www.midhosp.org
Accreditation Decision: Accredited
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Behavioral Health Care 5/16/2008 5/16/2008  
Home Care 5/16/2008 5/16/2008  
Hospital 5/16/2008 5/16/2008  

Advanced Certification
Programs		 Certification
Decision		 Effective
Date		 Last Full
Review Date		 Last On-Site
Review Date
Primary Stroke Center
Certification 4/8/2008  4/7/2008  4/7/2008 


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 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
Behavioral Health Care
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.
*
Home Care
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.
*
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:
Jul  2008 -
Jun  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
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 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 above the target range/value.
This organization’s performance is above the target range/value.
  • Open Heart Surgery
 See Detail
Not displayed.
3
Not displayed.
3
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
Center for Behavioral Health Day Treatment Program
33 Pleasant Street
Middletown, CT  06457
  • Behavioral Health (Day Programs - Adult)
Center for Behavioral Health Family Advocacy Program
51 Broad Street
Middletown, CT  06457
  • Assertive Community Treatment (Non 24 Hour Care - Child/Youth)
  • Behavioral Health (Non 24 Hour Care - Child/Youth)
  • Care Coordination (Non 24 Hour Care)
  • Developmental Disabilities - Programs / Services (Non 24 Hour Care - Child/Youth)
  • In-Home Behavioral Health Services (Non 24 Hour Care - Child/Youth)
  • Services Supporting Rehabilitation and Resilience (Non 24 Hour Care - Child/Youth)
Center for Behavioral Health Outpatient
103 South Main Street
Middletown, CT  06457
  • Behavioral Health (Non 24 Hour Care - Adult)
Middlesex Hospital  *
28 Crescent Street
Middletown, CT  06457
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
Services:
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Unit/Cardiology (Inpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Outpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient)
  • Infusion Services (Inpatient, Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient)
  • Labor & Delivery (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Mental Health (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • Nephrology (Inpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Podiatry (Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Recovery/Infirmary (Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Inpatient)
  • Sleep Center (Outpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient, Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • Wound Care (Inpatient)
Middlesex Hospital Behavioral Health, Old Saybrook
1250 Boston Post Road
Old Saybrook, CT  06475
  • Behavioral Health (Non 24 Hour Care - Adult)
Middlesex Hospital Family Practice Residency Office
90 South Main Street
Middletown, CT  06457
  • Multi Specialty Group Practice (Outpatient)
Middlesex Hospital Family Practice Residency Office
42 East High Street
East Hampton, CT  06424
  • Multi Specialty Group Practice (Outpatient)
Middlesex Hospital Family Practice Residency Office
595 Main Street
Portland, CT  06480
  • Multi Specialty Group Practice (Outpatient)
Middlesex Hospital Homecare
5 Pequot Park Road Suite 204
Westbrook, CT  06498
  • Home Health Services
Middlesex Hospital Homecare
770 Saybrook Road
Middletown, CT  06457
  • Home Health Services
Middlesex Hospital Homecare Hospice Program
28 Crescent Street
Middletown, CT  06457
  • Hospice Care
  • Inpatient Symptom Relief
  • Respite Care
Middlesex Hospital Outpatient Center
534 Saybrook Road
Middletown, CT  06457
  • General Outpatient Services (Outpatient)
Middlesex Hospital Physical Medicine & Rehabilitation
3 East Hampton Road, Suite 13
Marlborough, CT  06447
  • General Outpatient Services (Outpatient)
Middlesex Medical Center Marlborough
14 Jones Hollow Road
Marlborough, CT  06447
  • General Outpatient Services (Outpatient)
Middlesex Medical Center Shoreline
260 Westbrook Road
Essex, CT  06426
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
Services:
  • General Outpatient Services (Outpatient)
Middlesex MultiSpecialty Group
80 South Main Street
Middletown, CT  06457
  • Multi Specialty Group Practice (Outpatient)
Middlesex MultiSpecialty Group
21 Pleasant Street
Middletown, CT  06457
  • Multi Specialty Group Practice (Outpatient)
Middlesex Surgical Center
530 Saybrook Road
Middletown, CT  06457
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
Physical Medicine and Rehabilitation, Westbrook
192 Westbrook Road
Essex, CT  06426
  • General Outpatient Services (Outpatient)

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