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Accreditation Quality Report
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Quality Report

Summary of Accreditation Quality Information
NYU Hospitals Center
Org ID: 5820
550 First Avenue
New York, NY  10016
(212)263-2158
www.nyumc.org

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Hospital
Accredited 11/21/2009 11/20/2009 7/28/2010  


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
2010 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
Children's Asthma Care See Detail
This organization’s performance is below the target range/value.
This organization’s performance is similar to the target range/value.
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 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 above the target range/value.
This organization’s performance is above 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
Arthrofitness Sports & Rehabilitation of NY
614 Second Avenue
New York, NY  10016
  • General Outpatient Services (Outpatient)
  • Sports Medicine (Outpatient)
Clinical Cancer Center- Columbus
97-77 Queens Boulevard
Rego Park, NY  11374
  • Breast Cancer (Outpatient)
  • Colon/Rectal Cancer (Outpatient)
  • Esophageal Cancer (Outpatient)
  • General Outpatient Services (Outpatient)
  • Hodgkin's disease (Outpatient)
  • Leukemia (Outpatient)
  • Lung Cancer (Outpatient)
  • Pancreatic Cancer (Outpatient)
  • Prostate Cancer (Outpatient)
Hassenfeld Children's Center
160 East 32nd Street
New York, NY  10016
  • Adolescent medicine (Outpatient)
  • General Outpatient Services (Outpatient)
  • Hodgkin's disease (Outpatient)
  • Leukemia (Outpatient)
  • Lung Cancer (Outpatient)
  • Pediatric Cardiology (Outpatient - Child/Youth)
  • Pediatric Endocrinology (Outpatient - Child/Youth)
  • Pediatric Gastroenterology (Outpatient - Child/Youth)
  • Pediatric Hematology/Oncology (Outpatient - Child/Youth)
  • Pediatric Nephrology (Inpatient - Child/Youth)
  • Pediatric Neurology (Outpatient - Child/Youth)
  • Pediatric Pulmonology (Outpatient - Child/Youth)
Infusion Center
317 East 34th Street
New York, NY  10016
  • Colon/Rectal Cancer (Outpatient)
  • General Outpatient Services (Outpatient)
NYU Clinical Cancer Center
160 East 34th Street
New York, NY  10016
  • Breast Cancer (Outpatient)
  • Colon/Rectal Cancer (Outpatient)
  • Esophageal Cancer (Outpatient)
  • General Outpatient Services (Outpatient)
  • Genetic Testing / Counseling (Outpatient)
  • Health Social Work (Outpatient)
  • Leukemia (Outpatient)
  • Lung Cancer (Outpatient)
  • Pancreatic Cancer (Outpatient)
  • Prostate Cancer (Outpatient)
NYU Hospital for Joint Diseases
301 East 17 Street
New York, NY  10003
  • Arthritis (Inpatient, Outpatient)
  • Cervical Spine Treatment (Inpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Developmental Pediatrics (Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • Head Injury (Inpatient)
  • Health Social Work (Outpatient)
  • Hematology/Blood Treatment (Inpatient)
  • Hip Joint Replacement (Inpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient)
  • Infusion Therapy (Outpatient)
  • Internal Medicine (Inpatient)
  • Interventional Radiology (Inpatient, Outpatient)
  • Joint Replacement - Ankle (Inpatient)
  • Joint Replacement - Knee (Inpatient, Outpatient)
  • Joint Replacement - Shoulder (Inpatient)
  • Laminectomy (Inpatient)
  • Low Back Pain (Inpatient, Outpatient)
  • Lumbar Spine Treatment (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Microdiscectomy (Inpatient, Outpatient)
  • Multiple Sclerosis (Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nutrition Programs (Inpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Osgood-Schlatter (Inpatient, Outpatient)
  • Osteoporosis (Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Pediatric Orthopedics (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Plastic Surgery (Inpatient)
  • Podiatry (Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Spine Care (Inpatient, Outpatient)
  • Sports Medicine (Inpatient, Outpatient)
  • Telemetry (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Vascular Surgery (Inpatient)
  • Wound Care (Outpatient)
NYU Hospital for Joint Diseases Ambulatory Center
305 Second Avenue
New York, NY  10003
  • General Outpatient Services (Outpatient)
NYU Hospitals Center  *
550 First Avenue
New York, NY  10016
  • Abdominal Aortic Aneurysm (Inpatient)
  • Acute Coronary Syndrome (Inpatient)
  • Acute Myocardial Infarction (Inpatient)
  • Adolescent medicine (Inpatient)
  • Advanced Fetal Care (Inpatient)
  • Anxiety/panic disorders (Inpatient)
  • Asthma (Inpatient)
  • Asthma, Pediatrics (Inpatient)
  • Atrial Fibrillation (Inpatient)
  • Audiology (Inpatient, Outpatient)
  • Bariatric Surgery (Inpatient)
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
  • Benign prostatic hyperplasia (BPH) (Inpatient)
  • Bipolar disorder (Inpatient)
  • Bone Marrow Transplant (Inpatient)
  • Breast Cancer (Inpatient, Outpatient)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Rehabilitation (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • Carotid Stenosis (Inpatient)
  • Cellulitis (Inpatient)
  • Cerebral Bleeding (Inpatient)
  • Cervical Spine Treatment (Inpatient)
  • Chronic Kidney Disease (Inpatient, Outpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient, Outpatient)
  • Coagulopathy Treatment (Inpatient, Outpatient)
  • Colon/Rectal Cancer (Inpatient, Outpatient)
  • Coronary Artery Bypass Graft (Inpatient)
  • Coronary Artery Disease (Inpatient, Outpatient)
  • Crohn's Disease (Inpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Inpatient, Outpatient)
  • Depression (Inpatient)
  • Dermatology (Inpatient, Outpatient)
  • Developmental Disabilities - Hospital (Inpatient, Outpatient)
  • Developmental Pediatrics (Outpatient)
  • Diabetes Mellitus (Inpatient)
  • Dialysis (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Electroconvulsive Therapy (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient)
  • End Stage Renal Disease (Inpatient)
  • Endocrinology (Inpatient)
  • Epilepsy (Inpatient, Outpatient)
  • Esophageal Cancer (Inpatient)
  • Gastroenterology (Inpatient)
  • Gastroesophageal Reflux Disease (Inpatient)
  • General Medical Services (Inpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Head Injury (Outpatient)
  • Health Social Work (Inpatient)
  • Heart Failure (Inpatient)
  • Hematology/Blood Treatment (Inpatient)
  • Hepatitis B/C (Inpatient)
  • High Risk Neonatal (Inpatient)
  • High Risk Obstetrics (Inpatient)
  • Hip Joint Replacement (Inpatient, Outpatient)
  • HIV/AIDS (Inpatient)
  • Hodgkin's disease (Inpatient)
  • Hyperbilirubinemia (Inpatient)
  • Hyperlipidemia (Inpatient)
  • Hypertension (Inpatient)
  • Hyperthyroidism/Hypothyroidism (Inpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Inpatient Diabetes (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient)
  • Interventional Cardiac Catheterization (Inpatient, Outpatient)
  • Interventional Radiology (Inpatient, Outpatient)
  • Ischemic Heart Disease (Inpatient)
  • Joint Replacement - Knee (Inpatient, Outpatient)
  • Joint Replacement - Shoulder (Inpatient)
  • Labor & Delivery (Inpatient)
  • Laminectomy (Inpatient)
  • Leukemia (Inpatient, Outpatient)
  • Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
  • Liver Diseases (Inpatient)
  • Low Back Pain (Inpatient)
  • Lumbar Spine Treatment (Inpatient)
  • Lung Cancer (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Maternal Child (Inpatient)
  • Mental Health (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • Microdiscectomy (Inpatient)
  • Migraine Headache (Inpatient)
  • Morbid Obesity (Inpatient)
  • Multiple Sclerosis (Inpatient)
  • Neonatal Intensive Care (Inpatient)
  • Neonatology (Inpatient)
  • Nephrology (Inpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Nutrition Programs (Inpatient, Outpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Organ Transplant - Kidney (Inpatient)
  • Organ Transplant - Liver (Inpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pancreatic Cancer (Inpatient, Outpatient)
  • Pancreatitis (Inpatient)
  • Parkinsons Disease (Inpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Allergy/Immunology (Inpatient - Child/Youth)
  • Pediatric Cardiac Catheterization (Inpatient - Child/Youth)
  • Pediatric Cardiology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Cardiothoracic Surgery (Inpatient - Child/Youth)
  • Pediatric Care (Inpatient, Outpatient)
  • Pediatric Dermatology (Inpatient - Child/Youth)
  • Pediatric Emergency Department (Outpatient - Child/Youth)
  • Pediatric Emergency Medicine (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)
  • Pediatric Hematology/Oncology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Intensivists (Inpatient - Child/Youth)
  • Pediatric Nephrology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Neurology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Neurosurgery (Inpatient - Child/Youth)
  • Pediatric Ophthalmology (Inpatient - Child/Youth)
  • Pediatric Orthopedics (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Otolaryngology (Inpatient - Child/Youth)
  • Pediatric Pathology (Inpatient - Child/Youth)
  • Pediatric Physical Medicine and Rehab (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)
  • Pediatric Urology (Inpatient - Child/Youth)
  • Pelvic Inflammatory Disease (Inpatient)
  • Peripheral Vascular Disease (Inpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Pneumonia (Inpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Prematurity (Inpatient)
  • Prostate Cancer (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Schizophrenia (Inpatient)
  • Sexually Transmitted Disease (Inpatient)
  • Sickle Cell Disease (Inpatient)
  • Solid Organ Transplant (Inpatient)
  • Spinal Fusion (Inpatient)
  • Spine Care (Inpatient)
  • Sports Medicine (Inpatient, Outpatient)
  • Stroke Rehabilitation (Inpatient)
  • Stroke (Primary Stroke Center) (Inpatient, Outpatient)
  • Systemic Lupus Erythematosis (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Spine (Inpatient)
  • Thoracic Surgery (Inpatient, Outpatient)
  • Tuberculosis (Inpatient)
  • Ulcerative Colitis (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Disease (Inpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • Women's Health (Inpatient)
  • Wound Care (Inpatient, Outpatient)
Occupational and Industrial Orthopaedic Center (OIOC)
63 Downing Street
New York, NY  10014
  • General Outpatient Services (Outpatient)
  • Health and Wellness (Outpatient)
  • Spine Care (Outpatient)
Outpatient Brain Injury and Vestibular Rehab
660 First Ave
New York, NY  10016
  • Brain Injury Rehabilitation (Outpatient)
  • General Outpatient Services (Outpatient)
  • Head Injury (Outpatient)
Outpatient Surgery Center
333 East 38 Street
New York, NY  10016
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
Rivergate Transplant and Epilepsy Clinics
403 East 34 th Street
New York, NY  10016
  • Epilepsy (Outpatient)
  • General Outpatient Services (Outpatient)
  • Pediatric Neurology (Outpatient - Child/Youth)

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