The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Morristown Memorial Hospital
Org ID: 5958
100 Madison Avenue
Morristown, NJ  07962-1956
(973)971-5450
www.atlantichealth.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date  
Behavioral Health Care
Accredited 6/14/2008 6/13/2008 6/13/2008  
Hospital
Accredited 6/14/2008 6/13/2008 6/13/2008  

Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Primary Stroke Center
Certification 12/19/2008  12/18/2008  12/18/2008 
Ventricular Assist Device
Certification 6/17/2009  6/16/2009  6/16/2009 


Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Cervical Spine Treatment
Certification 6/14/2008  7/17/2009  7/17/2009 
Joint Replacement - Hip
Certification 12/11/2009  12/10/2009  12/10/2009 
Joint Replacement - Knee
Certification 12/11/2009  12/10/2009  12/10/2009 
Lumbar Spine Treatment
Certification 9/15/2009  7/17/2009  7/17/2009 



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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
Behavioral Health Care
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.
*
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:
Jul  2008 -
Jun  2009
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 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 similar to the target range/value.
This organization’s performance is similar to 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 similar to the target range/value.
This organization’s performance is similar to 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
Center for Physical Therapy/Sports Medicine
310 Madison Ave
Morristown, NJ  07962
  • General Outpatient Services (Outpatient)
Dialysis Center of Northwest New Jersey
175 Righter Road
Succasunna, NJ  07876
  • General Outpatient Services (Outpatient)
Family Health Center
200 South Street
Morristown, NJ  07962
  • General Outpatient Services (Outpatient)
Madison Pediatrics
300 Madison Ave
Madison, NJ  07940
  • Single Specialty Group Practice (Outpatient)
Medical Office Building at 111 Madison Ave.
111 Madison Ave
Morristown, NJ  07962
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
  • General Outpatient Services (Outpatient)
  • Single Specialty Practitioner (Outpatient)
Medical Office Building at 95 Madison Ave
95 Madison Avenue
Morristown, NJ  07962
  • Anesthesia (Outpatient)
  • General Outpatient Services (Outpatient)
  • Single Specialty Group Practice (Outpatient)
  • Single Specialty Practitioner (Outpatient)
Morristown Memorial Hospital  *
100 Madison Avenue
Morristown, NJ  07962-1956
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
  • Ventricular Assist Device
Joint Commission Certified Programs:
  • Cervical Spine Treatment
  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Lumbar Spine Treatment
Services:
  • Addiction Care (Outpatient)
  • Audiology (Inpatient, Outpatient)
  • Behavioral Health (Non 24 Hour Care - Adult)
    (24-hour Acute Care/Crisis Stabilization - Adult)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Inpatient, Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Developmental Disabilities - Hospital (Outpatient)
  • Dialysis (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Electroconvulsive Therapy (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Family Practice (Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infusion Services (Inpatient, Outpatient)
  • Inpatient Intake (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Neonatal Intensive Care (Inpatient)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation (Inpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Trauma/Burn Unit (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • Wound Care (Inpatient)
Rehabilitation Institute of Morristown Memorial
95 Mt. Kemble Avenue
Morristown, NJ  07962
  • Addiction Care (Outpatient)
  • Audiology (Inpatient, Outpatient)
  • Behavioral Health (Day Programs - Adult/Child/Youth)
    (Non 24 Hour Care - Adult/Child/Youth)
  • Chemical Dependency (Day Programs - Adult)
    (Non 24 Hour Care - Adult)
  • Dialysis (Inpatient)
  • Imaging/Radiology (Inpatient)
  • Mental Health (Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Sleep Center (Outpatient)
  • Subacute Care (Inpatient)
Respiratory Care Center for Children at Sparta
89 Sparta Ave
Sparta, NJ  07871
  • Single Specialty Group Practice (Outpatient)
The Respiratory Center for Children at Raritan
34 E. Somerset Street
Raritan, NJ  08869
  • Single Specialty Group Practice (Outpatient)
Women First OB/GYN
870 Pompton Ave Unit A1
Cedar Grove, NJ  07009
  • Single Specialty Group Practice (Outpatient)
Wound Center
182 South Sreet
Morristown, NJ  07962
  • General Outpatient Services (Outpatient)

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