The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Lenox Hill Hospital
Org ID: 5823
100 East 77th Street
New York, NY  10075
(212)434-2000
http://www.lenoxhillhospital.org/


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Hospital
Accredited 2/15/2014 2/14/2014   2/14/2014  


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





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 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
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:
Jan  2013 -
Dec  2013
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 below the target range/value.
This organization’s performance is below 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 below the target range/value.
This organization’s performance is below 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
   
 
 
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
Center for Comprehensive Care
DBA:  Lenox Hill Healthplex
30 Seventh Avenue
New York, NY  10011
    Services:
    • Administration of Blood Product (Outpatient)
    • Administration of High Risk Medications (Outpatient)
    • Anesthesia (Outpatient)
    Lenox Hill Hospital  *
    100 East 77th Street
    New York, NY  10075
      Services:
      • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
      • 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)
      • Interventional Radiology (Imaging/Diagnostic Services)
      • Labor & Delivery (Inpatient)
      • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
      • Medical /Surgical Unit (Inpatient)
      • Medical ICU (Intensive Care Unit)
      • 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)
      • Teleradiology (Imaging/Diagnostic Services)
      • Thoracic Surgery (Surgical Services)
      • Ultrasound (Imaging/Diagnostic Services)
      • Urology (Surgical Services)
      • Vascular Surgery (Surgical Services)
      Lenox Hill Hospital Outpatient Center for Mental Health
      210 - 222 East 64th Street
      New York, NY  10021
        Services:
        • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
        LHH Primary Care Center & Retroviral Disease Clinic
        210 - 222 East 64th Street
        New York, NY  10021
          Services:
          • Administration of High Risk Medications (Outpatient)
          • Anesthesia (Outpatient)
          • Outpatient Clinics (Outpatient)
          • Perform Invasive Procedure (Outpatient)
          Manhattan Eye, Ear and Throat Institute
          210 - 222 East 64th Street
          New York, NY  10021
            Services:
            • Administration of Blood Product (Outpatient)
            • Administration of High Risk Medications (Outpatient)
            • Ambulatory Surgery Center (Outpatient)
            • Anesthesia (Outpatient)
            • General Laboratory Tests
            • Perform Invasive Procedure (Outpatient)

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