The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
New York Methodist Hospital
Org ID: 5724
506 Sixth Street
Brooklyn, NY  11215
(718)780-3301
www.nym.org

Accreditation Decision: Accredited
Decision Effective Date: August 12, 2006
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Hospital 10/9/2009 10/9/2009  


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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
2006 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 below the target range/value.
This organization’s performance is below the target range/value.
Pneumonia Care See Detail
This organization’s performance is below the target range/value.
This organization’s performance is below 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 below the target range/value.
This organization’s performance is below the target range/value.
  • Blood Vessel Surgery
See Detail
This organization’s performance is below the target range/value.
This organization’s performance is below 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 below the target range/value.
This organization’s performance is below 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 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
This organization’s performance is below the target range/value.
This organization’s performance is below 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
Metro Sports
263 Seventh Avenue
Brooklyn, NY  11215
  • General Outpatient Services (Outpatient)
New York Methodist Hospital  *
506 Sixth Street
Brooklyn, NY  11215
  • Abdominal Aortic Aneurysm (Inpatient, Outpatient)
  • Acute Coronary Syndrome (Inpatient, Outpatient)
  • Adolescent medicine (Inpatient, Outpatient)
  • Advanced Fetal Care (Inpatient, Outpatient)
  • Allergy (Outpatient)
  • Alzheimers Disease (Inpatient, Outpatient)
  • Arthritis (Inpatient, Outpatient)
  • Atrial Fibrillation (Inpatient, Outpatient)
  • Audiology (Outpatient)
  • Bariatric Surgery (Inpatient, Outpatient)
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
  • Breast Cancer (Inpatient, Outpatient)
  • Cancer Center/Oncology (Inpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • Cellulitis (Inpatient, Outpatient)
  • Chronic Kidney Disease (Inpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient, Outpatient)
  • Colon/Rectal Cancer (Inpatient, Outpatient)
  • Congenital Anomalies (Inpatient, Outpatient)
  • Coronary Artery Disease (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Diabetes Mellitus (Inpatient, Outpatient)
  • Dialysis (Inpatient, Outpatient)
  • Eating Disorders (Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Electroconvulsive Therapy (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • End Stage Renal Disease (Inpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Epilepsy (Inpatient, Outpatient)
  • Esophageal Cancer (Inpatient, Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • Gastroesophageal Reflux Disease (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • Genetic Testing / Counseling (Inpatient, Outpatient)
  • Genetics (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Head Injury (Inpatient, Outpatient)
  • Health and Wellness (Inpatient, Outpatient)
  • Health Social Work (Inpatient, Outpatient)
  • Heart Failure (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Hip Joint Replacement (Inpatient, Outpatient)
  • HIV Clinic (Inpatient, Outpatient)
  • HIV/AIDS (Inpatient, Outpatient)
  • Hodgkin's disease (Inpatient, Outpatient)
  • Hyperlipidemia (Inpatient, Outpatient)
  • Hypertension (Inpatient, Outpatient)
  • Hyperthyroidism/Hypothyroidism (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infusion Services (Inpatient)
  • Inpatient Diabetes (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Interventional Cardiac Catheterization (Inpatient, Outpatient)
  • Interventional Radiology (Inpatient, Outpatient)
  • Irritable Bowel Syndrome (Inpatient, Outpatient)
  • Ischemic Heart Disease (Inpatient, Outpatient)
  • Joint Replacement - Knee (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Laminectomy (Inpatient, Outpatient)
  • Leukemia (Inpatient, Outpatient)
  • Lithotripsy/Kidney Stone Treatment (Outpatient)
  • Liver Diseases (Inpatient, Outpatient)
  • Low Back Pain (Inpatient, Outpatient)
  • Lung Cancer (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Migraine Headache (Inpatient, Outpatient)
  • Morbid Obesity (Inpatient, Outpatient)
  • Multiple Sclerosis (Inpatient, Outpatient)
  • Neonatal Intensive Care (Inpatient)
  • Neonatology (Inpatient)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Nutrition Programs (Inpatient, Outpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Osteoporosis (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pancreatitis (Inpatient, Outpatient)
  • Parkinsons Disease (Inpatient, Outpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Allergy/Immunology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Cardiology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Care (Inpatient, Outpatient)
  • Pediatric Emergency Department (Outpatient - Child/Youth)
  • Pediatric Emergency Medicine (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Endocrinology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Gastroenterology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric General Surgery (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Intensivists (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Neurology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Neurosurgery (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Orthopedics (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Otolaryngology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Plastic Surgery (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Pulmonology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Radiology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pelvic Inflammatory Disease (Inpatient, Outpatient)
  • Perimenopause (Inpatient, Outpatient)
  • Peripheral Vascular Disease (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Pneumonia (Inpatient, Outpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Prematurity (Inpatient, Outpatient)
  • Prostate Cancer (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Recovery/Infirmary (Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient, Outpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Sexually Transmitted Disease (Inpatient, Outpatient)
  • Sickle Cell Disease (Inpatient, Outpatient)
  • Sleep Center (Outpatient)
  • Sleeping Disorder (Inpatient, Outpatient)
  • Spine Care (Inpatient, Outpatient)
  • Sports Medicine (Inpatient, Outpatient)
  • Stroke Rehabilitation (Inpatient, Outpatient)
  • Stroke (Primary Stroke Center) (Inpatient, Outpatient)
  • Subacute Care (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Tobacco Treatment / Cessation (Inpatient, Outpatient)
  • Ulcerative Colitis (Inpatient, Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • Weight Loss (Inpatient, Outpatient)
  • Women's Health (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)

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