The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Long Island Jewish Medical Center
Org ID: 5806
270-05 76th Avenue
New Hyde Park, NY  11040
(516)470-7000
www.northshorelij.com


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Behavioral Health Care
Accredited 3/14/2014 3/13/2014   3/13/2014  
Hospital
Accredited 3/15/2014 3/14/2014   3/14/2014  


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


Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Advanced Palliative Care
Certification 12/9/2014  11/6/2014  11/6/2014 
Inpatient Diabetes
Certification 11/15/2014  11/14/2014  11/14/2014 



Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Joint Replacement - Hip
Certification 3/11/2015  3/10/2015  3/10/2015 
Joint Replacement - Knee
Certification 3/11/2015  3/10/2015  3/10/2015 




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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
Behavioral Health Care
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.
*
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:
Jul  2013 -
Jun  2014
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.
Hospital-Based Inpatient Psychiatric Services See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is below the target range/value.
Perinatal Care See Detail
Not displayed.
2
Not displayed.
2
Pneumonia Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Stroke Care See Detail
Not displayed.
8
Not displayed.
8
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 above the target range/value.
This organization’s performance is above 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
Brian Picolo/Intermediate School
10-45 Nameoke Street
Far Rockaway, NY  11691
    Services:
    • Outpatient Clinics (Outpatient)
    Center for Advanced Medicine
    450 Lakeville Road
    New Hyde Park, NY  11040
      Services:
      • Administration of Blood Product (Outpatient)
      • Administration of High Risk Medications (Outpatient)
      • Anesthesia (Outpatient)
      • Outpatient Clinics (Outpatient)
      • Perform Invasive Procedure (Outpatient)
      Cohen Children's Medical Center
      269-01 76th Avenue
      New Hyde Park, NY  11040
        Services:
        • Brachytherapy (Imaging/Diagnostic Services)
        • 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)
        • Ear/Nose/Throat Surgery (Surgical Services)
        • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
        • Gastroenterology (Surgical Services)
        • GI or Endoscopy Lab (Imaging/Diagnostic Services)
        • Hematology/Oncology Unit (Inpatient)
        • Inpatient Unit (Inpatient)
        • Interventional Radiology (Imaging/Diagnostic Services)
        • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
        • Medical /Surgical Unit (Inpatient)
        • Medical ICU (Intensive Care Unit)
        • Neurosurgery (Surgical Services)
        • Nuclear Medicine (Imaging/Diagnostic Services)
        • Ophthalmology (Surgical Services)
        • Orthopedic Surgery (Surgical Services)
        • Pediatric Unit (Inpatient)
        • Plastic Surgery (Surgical Services)
        • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
        • Radiation Oncology (Imaging/Diagnostic Services)
        • Sleep Laboratory (Sleep Laboratory)
        • Thoracic Surgery (Surgical Services)
        • Ultrasound (Imaging/Diagnostic Services)
        • Urology (Surgical Services)
        • Vascular Surgery (Surgical Services)
        Cohen Children's Medical Center of NY/Ambulatory Division
        410 Lakeville Road
        New Hyde Park, NY  11040
          Services:
          • Outpatient Clinics (Outpatient)
          Drug Abuse Emergency Health & Referral Service
          75-59 263rd Street-Littauer Bldg. 1st fl
          Glen Oaks, NY  11004
            Services:
            • Chemical Dependency (Non 24 Hour Care - Adult)
            • Family Support (Non 24 Hour Care)
            Far Rockaway HS Clinic
            821 Bay 25th Streeet, Far Rockaway, NY
            Far Rockaway, NY  11691
              Services:
              • Outpatient Clinics (Outpatient)
              Far Rockaway Treatment Center
              1600 Central Avenue
              Far Rockaway, NY  11691
                Services:
                • Chemical Dependency (Non 24 Hour Care - Adult/Child/Youth)
                • Family Support (Non 24 Hour Care)
                Franklin K. Lane (SB)
                999 Jamaica Avenue
                Brooklyn, NY  11208
                  Services:
                  • Outpatient Clinics (Outpatient)
                  Intensive Psychiatric Rehabilitation Treatment
                  205-07 Hillside Ave.
                  Hollis, NY  11423
                    Services:
                    • Behavioral Health (Non 24 Hour Care - Adult)
                    • Community Integration (Non 24 Hour Care)
                    • Employment Services (Non 24 Hour Care)
                    LIJMC Satellite Dialysis Facility
                    220-22 Hillside Ave
                    Queens Village, NY  11427
                      Services:
                      • Dialysis (Outpatient)
                      • Outpatient Clinics (Outpatient)
                      Long Island Jewish Eye Care Center
                      600 Northern Blvd
                      Great Neck, NY  11021
                        Services:
                        • Outpatient Clinics (Outpatient)
                        Long Island Jewish Medical Center  *
                        270-05 76th Ave
                        New Hyde Park, NY  11040
                        Joint Commission Advanced Certification Programs:
                        • Advanced Palliative Care
                        • Inpatient Diabetes
                        Joint Commission Certified Programs:
                        • Joint Replacement - Hip
                        • Joint Replacement - Knee
                          Services:
                          • Brachytherapy (Imaging/Diagnostic Services)
                          • 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)
                          • Hematology/Oncology Unit (Inpatient)
                          • Inpatient 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)
                          • Neuro/Spine Unit (Inpatient)
                          • 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)
                          • Thoracic Surgery (Surgical Services)
                          • Ultrasound (Imaging/Diagnostic Services)
                          • Urology (Surgical Services)
                          • Vascular Surgery (Surgical Services)
                          Manhasset Facility
                          1554 Northern Boulevard
                          Manhasset, NY  11030
                            Services:
                            • Outpatient Clinics (Outpatient)
                            Mineola Community Treatment Center
                            366 Jericho Turnpike
                            Mineola, NY  11501
                              Services:
                              • Chemical Dependency (Day Programs - Child/Youth)
                                (Non 24 Hour Care - Adult/Child/Youth)
                                (Partial - Child/Youth)
                              • Family Support (Non 24 Hour Care)
                              Nassau Day Training Center
                              600 Hempstead Turnpike
                              West Hempstead, NY  11552
                                Services:
                                • Community Integration (Non 24 Hour Care)
                                • Employment Services (Non 24 Hour Care)
                                • Vocational Rehabilitation (Non 24 Hour Care - Adult)
                                North Shore LIJ Medical Group Urgent Care Center
                                95-25 Queens Blvd
                                Rego Park, NY  11374
                                  Services:
                                  • Urgent Care (Outpatient)
                                  P.S. 105 Satellite
                                  420 Beach 51st Street
                                  Far Rockaway, NY  11691
                                    Services:
                                    • Behavioral Health (Non 24 Hour Care - Child/Youth)
                                    • Family Support (Non 24 Hour Care)
                                    P.S. 197 Satellite
                                    825 Hicksville Road
                                    Far Rockaway, NY  11691
                                      Services:
                                      • Behavioral Health (Non 24 Hour Care - Child/Youth)
                                      • Family Support (Non 24 Hour Care)
                                      P.S.42 Satellite
                                      488 Beach 66th Street
                                      Arverne, NY  11692
                                        Services:
                                        • Behavioral Health (Non 24 Hour Care - Child/Youth)
                                        • Family Support (Non 24 Hour Care)
                                        Project Outreach
                                        600 Hempstead Turnpike
                                        West Hempstead, NY  11552
                                          Services:
                                          • Chemical Dependency (Day Programs - Adult)
                                            (Non 24 Hour Care - Adult/Child/Youth)
                                            (Partial - Adult)
                                          • Family Support (Non 24 Hour Care)
                                          SIGN-ON VILLAGE
                                          205-07 Hillside Avenue
                                          Hollis, NY  11423
                                            Services:
                                            • Community Integration (Non 24 Hour Care)
                                            • Employment Services (Non 24 Hour Care)
                                            • Vocational Rehabilitation (Non 24 Hour Care - Adult)
                                            Zucker Hillside Hospital
                                            75-59 263rd Street
                                            Glen Oaks, NY  11004
                                              Services:
                                              • Behavioral Health (Day Programs - Adult)
                                                (Non 24 Hour Care - Adult/Child/Youth)
                                                (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
                                                (Partial - Adult)
                                              • Chemical Dependency (Day Programs - Adult/Child/Youth)
                                                (Non 24 Hour Care - Adult/Child/Youth)
                                                (Partial - Adult/Child/Youth)
                                              • Vocational Rehabilitation (Non 24 Hour Care - Adult)

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                                              The Joint Commission obtains information about accredited/certified organizations not only through direct observations by its employees …Read more.
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