The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Southside Hospital
Org ID: 5713
301 East Main Street
Bay Shore, NY  11706
(631)968-3000
www.northshorelij.com


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Hospital
Accredited 1/17/2014 1/16/2014   1/16/2014  


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.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
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:
Oct  2012 -
Sep  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 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.
  • 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
Southside Hospital  *
301 East Main Street
Bay Shore, NY  11706
Other Clinics/Practices located at this site:
  • NY Pain Consultants
Services:
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
  • 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)
  • GI or Endoscopy Lab (Imaging/Diagnostic Services)
  • Gynecological Surgery (Surgical Services)
  • Gynecology (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)
  • Orthopedic Surgery (Surgical Services)
  • Outpatient Clinics (Outpatient)
  • Pediatric Unit (Inpatient)
  • Peer Support (Non 24 Hour Care)
  • Plastic Surgery (Surgical 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 Unit (Inpatient)
  • Teleradiology (Imaging/Diagnostic Services)
  • Thoracic Surgery (Surgical Services)
  • Ultrasound (Imaging/Diagnostic Services)
  • Urology (Surgical Services)
  • Vascular Surgery (Surgical Services)

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