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Quality Report

Summary of Accreditation Quality Information
Beth Israel Medical Center
Org ID: 5808
1st Avenue at 16th Street
New York, NY  10003
(212)420-2868
wehealnewyork.org
Accreditation Decision: Accredited
Decision Effective Date: October 25, 2008
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Hospital 10/24/2008 10/24/2008  


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
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:
Jan  2009 -
Dec  2009
Heart Attack 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.
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 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 similar to the target range/value.
This organization’s performance is similar to 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 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
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to 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
Beth Israel Medical Center - Kings Highway Division
3201 Kings Highway
Brooklyn, NY  11234
  • Dialysis (Inpatient)
  • Emergency Room (Outpatient)
  • Gastroenterology (Inpatient)
  • General Medical Services (Inpatient)
  • General Surgery (Inpatient)
  • GI or Endoscopy Lab (Inpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient)
  • Neurology (Inpatient)
  • Nuclear Medicine (Inpatient)
  • Operating Room (Inpatient)
  • Orthopedic Surgery (Inpatient)
  • Outpatient Surgery (Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Ultrasound (Inpatient)
  • Urology (Inpatient)
  • Vascular Surgery (Inpatient)
Beth Israel Medical Center Petrie Division  *
First Avenue at 16th Street
New York, NY  10003
  • Addiction Care (Inpatient, Outpatient)
  • Alcohol & Drug Rehabilitation (Inpatient, Outpatient)
  • Behavioral Health (Non 24 Hour Care - Adult)
    (24-hour Acute Care/Crisis Stabilization - Adult)
  • Cancer Center/Oncology (Inpatient)
  • Cardiac Catheterization Lab (Inpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient)
  • Chemical Dependency (Non 24 Hour Care - Adult)
    (24-hour Acute Care/Crisis Stabilization - Adult)
  • CT Scanner (Inpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient)
  • Electroconvulsive Therapy (Inpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient)
  • Family Practice (Inpatient)
  • Gastroenterology (Inpatient)
  • General Medical Services (Inpatient)
  • General Surgery (Inpatient)
  • GI or Endoscopy Lab (Inpatient)
  • Gynecology (Inpatient)
  • Hematology/Blood Treatment (Inpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient)
  • Labor & Delivery (Inpatient)
  • Magnetic Resonance Imaging (Inpatient)
  • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Methadone Detoxification (24-hour Acute Care/Crisis Stabilization - Adult)
  • Neonatal Intensive Care (Inpatient)
  • Nephrology (Inpatient)
  • Neurology (Inpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Inpatient)
  • Oral Maxillofacial Surgery (Inpatient)
  • Orthopedic Surgery (Inpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient)
  • Pediatric Care (Inpatient)
  • Plastic Surgery (Inpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient)
  • Radiation Oncology (Inpatient)
  • Rehabilitation and Physical Medicine (Inpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Sleep Center (Outpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Ultrasound (Inpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient)
  • Vascular Surgery (Inpatient)
Center for health and Healing
245 Fifth Ave
New York, NY  10016
  • General Outpatient Services (Outpatient)
DOCS Hartsdale JMP
141 S. Central Park Ave
Hartsdale, NY  10530
  • Anesthesia (Outpatient)
  • General Outpatient Services (Outpatient)
DOCS Manhattan 34th St.
55 East 34th St
New York, NY  10016
  • Anesthesia (Outpatient)
  • General Outpatient Services (Outpatient)
DOCS Manhattan West 23rd
202-204 West 23rd St.
New York, NY  10111
  • General Outpatient Services (Outpatient)
Irving Place Dialysis Center
120 East 16th Street
New York, NY  10003
  • General Outpatient Services (Outpatient)
Kings Highway Surgicenter
3131 Kings Highway
Brooklyn, NY  11234
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
Max Meltzer Health Center
94 East 1st Street
New York, NY  10009
  • General Outpatient Services (Outpatient)
Phillips Ambulatory Care Center
10 Union Square East
New York, NY  10003
  • Anesthesia (Outpatient)
  • General Outpatient Services (Outpatient)
Upper Manhattan Dialysis Center
2465 Broadway
New York, NY  10025
  • General Outpatient Services (Outpatient)
Yorkville Dialysis Center
1555 3rd Avenue
New York, NY  10128
  • General Outpatient Services (Outpatient)

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