QualityReport

Accreditation Quality Report
>	Summary of Accreditation Quality Information
>	Accredited Programs
>	Accreditation National Patient Safety Goals
>	Sites and Services
>	Accreditation History
>	Download Accreditation PDF Report
>	Download Accreditation PDF Report - Include Quarterly Data
>	Accreditation Quality Report User Guide
Additional Links
>	The Joint Commission
>	International Center for Patient Safety
>	Joint Commission International

Quality Report

Summary of Accreditation Quality Information

SUNY Downstate Medical Center University Hosp. of Brooklyn
Org ID: 5737
445 Lenox Road, Box 23
Brooklyn, NY 11203
(718)270-1000
www.downstate.edu

Accreditation
Programs

Accreditation
Decision

Effective
Date

Last Full Survey Date

Last On-Site Survey Date

Hospital

Accredited

4/19/2008

4/18/2008

11/20/2009

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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

2010 National Patient Safety Goals

See Detail

National Quality Improvement Goals:

Reporting Period:
Jul 2008 -
Jun 2009

Heart Attack Care

Heart Failure Care

Pneumonia Care

Pregnancy Care

Surgical Care Improvement Project (SCIP)

SCIP - Cardiac

See Detail

SCIP - Infection Prevention

For All Reported Procedures:

See Detail

Blood Vessel Surgery

See Detail

Colon/Large Intestine Surgery

See Detail

Coronary Artery Bypass Graft

See Detail

Hip Joint Replacement

See Detail

Hysterectomy

See Detail

Knee Replacement

See Detail

Open Heart Surgery

See Detail

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.
	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 Health Services - Bedford Stuyvesant
613 Throop Avenue
Brooklyn, NY 11216

General Outpatient Services (Outpatient)

Center For Health Services - Midwood
2171 Nostrand Avenue
Brooklyn, NY 11210

General Outpatient Services (Outpatient)

PS 13
567 Pennsylvania Avenue
Brooklyn, NY 11207

General Outpatient Services (Outpatient)

State University of New York/University Hospital of Brooklyn *
445 Lenox Road
Brooklyn, NY 11203

Audiology (Inpatient, Outpatient)
Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
Cancer Center/Oncology (Inpatient)
Cardiac Catheterization Lab (Inpatient, Outpatient)
Cardiac Surgery (Inpatient)
Cardiac Unit/Cardiology (Inpatient, Outpatient)
CT Scanner (Inpatient, Outpatient)
Dentistry (Outpatient)
Dermatology (Outpatient)
Developmental Disabilities - Hospital (Outpatient)
Dialysis (Inpatient, Outpatient)
EEG/EKG/EMG Lab (Inpatient)
Emergency Room (Outpatient)
Endocrinology (Outpatient)
Family Practice (Inpatient, Outpatient)
Gastroenterology (Outpatient)
General Medical Services (Inpatient)
General Surgery (Inpatient)
GI or Endoscopy Lab (Outpatient)
Gynecology (Inpatient, Outpatient)
Hematology/Blood Treatment (Inpatient)
Imaging/Radiology (Inpatient, Outpatient)
Infectious Diseases (Inpatient)
Infusion Services (Outpatient)
Inpatient Intake (Inpatient)
Intensive Care Unit (Inpatient)
Internal Medicine (Inpatient)
Labor & Delivery (Inpatient)
Magnetic Resonance Imaging (Inpatient, Outpatient)

Mental Health (Inpatient, 24-hour Acute Care/Crisis Stabilization)
Neonatal Intensive Care (Inpatient)
Nephrology (Inpatient, Outpatient)
Neurology (Inpatient, Outpatient)
Neurosurgery (Inpatient)
Nuclear Medicine (Inpatient, Outpatient)
Nursery (Inpatient)
Obstetrics (Inpatient, Outpatient)
Occupational Health (Outpatient)
Operating Room (Inpatient)
Orthopedic Surgery (Inpatient)
Otolaryngology/Ear, Nose, and Throat (Inpatient)
Outpatient Surgery (Outpatient)
Pediatric Care (Inpatient, Outpatient)
Plastic Surgery (Inpatient)
Podiatry (Outpatient)
Post Anesthesia Care Unit (PACU) (Inpatient)
Pulmonary Function Lab (Inpatient)
Radiation Oncology (Inpatient)
Rehabilitation (Inpatient, Outpatient)
Respiratory Care (Ventilator) (Inpatient)
Sleep Center (Outpatient)
Telemetry (Inpatient)
Thoracic Surgery (Inpatient)
Ultrasound (Inpatient, Outpatient)
Urgent Care/Emergency Medicine (Outpatient)
Urology (Inpatient)
Vascular Surgery (Inpatient)

SUNY - Parkside Dialysis Center
710 Parkside Avenue
Brooklyn, NY 11203

General Outpatient Services (Outpatient)

SUNY Bay Ridge Center
166 Battery Avenue
Brooklyn, NY 11228

Ambulatory Surgery Center (Outpatient)
Anesthesia (Outpatient)

SUNY Downstate Medical Center at Bayridge
699 92nd Street
Brooklyn, NY 11228

Ambulatory Surgery Center (Outpatient)
Anesthesia (Outpatient)
Convenient Care Center (Outpatient)
General Outpatient Services (Outpatient)

University Hospital of Brooklyn Family Health Service
840 Lefferts Avenue
Brooklyn, NY 11203

General Outpatient Services (Outpatient)

Wingate High School
600 Kingston Avenue
Brooklyn, NY 11203

General Outpatient Services (Outpatient)

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