The Joint Commission
Quality Check
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 Decision: Accredited
Decision Effective Date: August 05, 2008
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Hospital 11/20/2009 11/20/2009  


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
2007 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
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 similar to the target range/value.
This organization’s performance is similar to 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)
  • Health and Wellness (Outpatient)
  • Pediatric Physical Medicine and Rehab (Outpatient - Child/Youth)
  • Sports Medicine (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 Hematology/Oncology (Outpatient - Child/Youth)
Infusion Center
317 East 34th Street
New York, NY  10016
  • 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)
  • Leukemia (Outpatient)
  • Lung Cancer (Outpatient)
  • Pancreatic Cancer (Outpatient)
  • Prostate Cancer (Outpatient)
NYU Hospital for Joint Diseases
301 East 17 Street
New York, NY  10003
  • Adolescent medicine (Inpatient)
  • Arthritis (Inpatient, Outpatient)
  • Congenital Anomalies (Inpatient, Outpatient)
  • Crohn's Disease (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Developmental Pediatrics (Inpatient, Outpatient)
  • Diabetes Mellitus (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Finger Joint Replacement (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • Genetic Testing / Counseling (Outpatient)
  • Head Injury (Inpatient)
  • Health and Wellness (Inpatient, Outpatient)
  • Health Social Work (Inpatient)
  • Hematology/Blood Treatment (Inpatient)
  • Hip Joint Replacement (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient)
  • Infusion Services (Outpatient)
  • Internal Medicine (Inpatient)
  • Interventional Radiology (Inpatient, Outpatient)
  • Joint Replacement - Knee (Inpatient, Outpatient)
  • Laminectomy (Inpatient)
  • Low Back Pain (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)
  • Pediatric Care (Inpatient, Outpatient)
  • Pediatric Orthopedics (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Physical Medicine and Rehab (Outpatient - Child/Youth)
  • Pediatric Radiology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Rheumatology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Plastic Surgery (Inpatient)
  • Podiatry (Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Spine Care (Inpatient, Outpatient)
  • Sports Medicine (Inpatient, Outpatient)
  • Stroke Rehabilitation (Inpatient)
  • Systemic Lupus Erythematosis (Inpatient, Outpatient)
  • Telemetry (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Vascular Surgery (Inpatient)
  • Women's Health (Inpatient, Outpatient)
  • 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)
  • 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 Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • Cellulitis (Inpatient)
  • Chronic Kidney Disease (Inpatient, Outpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient, Outpatient)
  • Coagulopathy Treatment (Inpatient, Outpatient)
  • Colon/Rectal Cancer (Inpatient, Outpatient)
  • 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)
  • 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, Outpatient)
  • 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)
  • Heart Failure (Inpatient)
  • Hematology/Blood Treatment (Inpatient)
  • Hip Joint Replacement (Inpatient, Outpatient)
  • Hyperlipidemia (Inpatient)
  • Hypertension (Inpatient)
  • Hyperthyroidism/Hypothyroidism (Inpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient)
  • Infusion Services (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)
  • Labor & Delivery (Inpatient)
  • Laminectomy (Inpatient)
  • Leukemia (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
  • Liver Diseases (Inpatient)
  • Lung Cancer (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Mental Health (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • 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)
  • Pancreatitis (Inpatient)
  • Parkinsons Disease (Inpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Cardiology (Inpatient - Child/Youth)
  • Pediatric Cardiothoracic Surgery (Inpatient - Child/Youth)
  • Pediatric Care (Inpatient, Outpatient)
  • Pediatric Dermatology (Inpatient - Child/Youth)
  • Pediatric Emergency Medicine (Outpatient - Child/Youth)
  • Pediatric Endocrinology (Inpatient - Child/Youth)
  • Pediatric Gastroenterology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric General Surgery (Inpatient - Child/Youth)
  • Pediatric Hematology/Oncology (Inpatient - Child/Youth)
  • Pediatric Intensivists (Inpatient - Child/Youth)
  • Pediatric Nephrology (Inpatient - 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)
  • Pediatric Radiology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Rheumatology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Urology (Inpatient - Child/Youth)
  • Pelvic Inflammatory 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 (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Schizophrenia (Inpatient)
  • Sickle Cell Disease (Inpatient)
  • Solid Organ Transplant (Inpatient)
  • Spine Care (Inpatient)
  • Sports Medicine (Inpatient, Outpatient)
  • Stroke (Primary Stroke Center) (Inpatient, Outpatient)
  • Systemic Lupus Erythematosis (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient, Outpatient)
  • Tobacco Treatment / Cessation (Outpatient)
  • Ulcerative Colitis (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • 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
  • 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
34 th Street
New York, NY  10016
  • Epilepsy (Outpatient)
  • General Outpatient Services (Outpatient)
  • Pediatric Neurology (Outpatient - Child/Youth)

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