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Quality Report

Summary of Quality Information
Jersey Shore University Medical Center
Org ID: 5960
1945 Route 33
Neptune, NJ  07754-0397
(732)776-4900
www.meridianhealth.com

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Behavioral Health Care
Accredited 10/4/2007 12/8/2006 12/8/2006  
Hospital
Accredited 10/4/2007 12/8/2006 12/8/2006  

Advanced Certification
Programs		 Certification
Decision		 Effective
Date		 Last Full
Review Date		 Last On-Site
Review Date
Primary Stroke Center
Certification 10/14/2009  10/13/2009  10/13/2009 


Other Accredited Programs / Services
Laboratory  -  Accredited by College of American Pathologists


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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
2006 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
2006 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
Not displayed.
8
Not displayed.
8
Heart Failure Care See Detail
Not displayed.
8
Not displayed.
8
Pneumonia Care See Detail
Not displayed.
8
Not displayed.
8
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
 See Detail
Not displayed.
8
Not displayed.
8
  • Blood Vessel Surgery
 See Detail
Not displayed.
8
Not displayed.
8
  • Colon/Large Intestine Surgery
 See Detail
Not displayed.
8
Not displayed.
8
  • Coronary Artery Bypass Graft
 See Detail
Not displayed.
8
Not displayed.
8
  • Hip Joint Replacement
 See Detail
Not displayed.
8
Not displayed.
8
  • Hysterectomy
 See Detail
Not displayed.
8
Not displayed.
8
  • Knee Replacement
 See Detail
Not displayed.
8
Not displayed.
8
  • Open Heart Surgery
 See Detail
Not displayed.
8
Not displayed.
8
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
Family Health Center
71 Davis Avenue
Neptune, NJ  07753
  • General Outpatient Services (Outpatient)
Jersey Shore Behavioral Health - Child Day Program
402 Route 35
Neptune, NJ  07754
  • Behavioral Health (Day Programs - Child/Youth)
    (Non 24 Hour Care - Child/Youth)
Jersey Shore Behavioral Health - Park Place
1011 Bond Street
Asbury Park, NJ  07712
  • Behavioral Health (Day Programs - Adult)
Jersey Shore Behavioral Health Services
3535 Route 66
Neptune, NJ  07754
  • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
  • Chemical Dependency (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Jersey Shore University Medical Center  *
1945 Route 33
Neptune, NJ  07754-0397
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
Services:
  • Abdominal Aortic Aneurysm (Inpatient)
  • Acquired Brain Injury (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • Acute Coronary Syndrome (Inpatient)
  • Acute Myocardial Infarction (Inpatient)
  • Addiction Care (Inpatient)
  • Adolescent medicine (Inpatient)
  • Alcohol & Drug Rehabilitation (Inpatient)
  • Alzheimers Disease (Inpatient)
  • Anxiety/panic disorders (Inpatient, Outpatient)
  • Arthritis (Inpatient)
  • Asthma (Inpatient)
  • Asthma, Pediatrics (Inpatient)
  • Atrial Fibrillation (Inpatient)
  • Attention Deficit Disorder (Inpatient)
  • Audiology (Inpatient)
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
  • Benign prostatic hyperplasia (BPH) (Inpatient)
  • Bipolar disorder (Inpatient, Outpatient)
  • Breast Cancer (Inpatient)
  • 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)
  • Chronic Obstructive Pulmonary Disease (Inpatient)
  • Coagulopathy Treatment (Inpatient)
  • Colon/Rectal Cancer (Inpatient)
  • Congenital Anomalies (Inpatient)
  • Coronary Artery Bypass Graft (Inpatient)
  • Coronary Artery Disease (Inpatient)
  • Crohn's Disease (Inpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Cystic Fibrosis (Inpatient)
  • Dentistry (Inpatient)
  • Depression (Inpatient, Outpatient)
  • Developmental Pediatrics (Inpatient)
  • Diabetes Mellitus (Inpatient)
  • Dialysis (Inpatient, Outpatient)
  • Eating Disorders (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Electroconvulsive Therapy (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient)
  • End Stage Renal Disease (Inpatient)
  • Endocrinology (Inpatient)
  • Epilepsy (Inpatient)
  • Esophageal Cancer (Inpatient)
  • Family Practice (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 (Inpatient)
  • Health and Wellness (Inpatient)
  • Heart Failure (Inpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Hemophilia (Inpatient)
  • Hepatitis B/C (Inpatient)
  • High Risk Neonatal (Inpatient)
  • Hip Joint Replacement (Inpatient)
  • HIV Clinic (Inpatient)
  • HIV/AIDS (Inpatient, Outpatient)
  • Hodgkin's disease (Inpatient)
  • Hyperbilirubinemia (Inpatient)
  • 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)
  • Interventional Radiology (Inpatient, Outpatient)
  • Irritable Bowel Syndrome (Inpatient)
  • Ischemic Heart Disease (Inpatient)
  • Joint Replacement - Knee (Inpatient)
  • Labor & Delivery (Inpatient)
  • Laminectomy (Inpatient)
  • Leukemia (Inpatient)
  • Liver Diseases (Inpatient)
  • Low Back Pain (Inpatient)
  • Lung Cancer (Inpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Maternal Child (Inpatient)
  • Mental Health (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • Migraine Headache (Inpatient, Outpatient)
  • Multiple Sclerosis (Inpatient)
  • Necrotizing Enteral Colitis (Inpatient)
  • Neonatal Intensive Care (Inpatient)
  • Neonatology (Inpatient)
  • Nephrology (Inpatient)
  • Neurology (Inpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Nutrition Programs (Inpatient)
  • Obstetrics (Inpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Osteopathic Care (Inpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pancreatic Cancer (Inpatient)
  • Pancreatitis (Inpatient)
  • Pathology (Inpatient)
  • Pediatric Allergy/Immunology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Cardiology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Care (Inpatient, Outpatient)
  • Pediatric Dentistry (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Emergency Department (Outpatient - Child/Youth)
  • Pediatric Emergency Medicine (Inpatient - Child/Youth)
    (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)
    (Outpatient - Child/Youth)
  • Pediatric Hematology/Oncology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Intensivists (Inpatient - Child/Youth)
  • Pediatric Neurology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Neurosurgery (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Ophthalmology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Oral/Maxofacial Surgery (Inpatient - Child/Youth)
  • Pediatric Orthopedics (Inpatient - Child/Youth)
  • Pediatric Otolaryngology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Pathology (Inpatient - Child/Youth)
  • Pediatric Physical Medicine and Rehab (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Plastic Surgery (Inpatient - Child/Youth)
  • Pediatric Pulmonology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pediatric Radiology (Inpatient - Child/Youth)
  • Pediatric Rheumatology (Inpatient - Child/Youth)
  • Pediatric Urology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pelvic Inflammatory Disease (Inpatient, Outpatient)
  • Peripheral Vascular Disease (Inpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Pneumonia (Inpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Prostate Cancer (Inpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation (Inpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient)
  • Rheumatology (Inpatient)
  • Schizophrenia (Inpatient)
  • Self Injury (Inpatient, Outpatient)
  • Sickle Cell Disease (Inpatient)
  • Sleep Center (Outpatient)
  • Sleeping Disorder (Inpatient, Outpatient)
  • Spinal Fusion (Inpatient)
  • Spine Care (Inpatient, Outpatient)
  • Stroke Rehabilitation (Inpatient)
  • Stroke (Primary Stroke Center) (Inpatient)
  • Systemic Lupus Erythematosis (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Spine (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Tobacco Treatment / Cessation (Inpatient)
  • Trauma (Inpatient)
  • Trauma/Burn Unit (Inpatient)
  • Traumatic Brain Injury (Inpatient)
  • Tuberculosis (Inpatient)
  • Ulcerative Colitis (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient)
  • Vascular Disease (Inpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • Ventricular Assist Device (Inpatient)
  • Weight Loss (Inpatient, Outpatient)
  • Women's Health (Inpatient)
  • Wound Care (Inpatient, Outpatient)
Jersey Shore University Medical Center, Outpatient Dialysis
2441 Fortunato Place
Neptune, NJ  07753
  • General Outpatient Services (Outpatient)
Meridian Rehabilitation Outpatient Therapy Center
195 Route 9S Suite 113
Manalapan, NJ  07726
  • General Outpatient Services (Outpatient)
Progressions Rehab
1944 Route 33 Suite 102
Neptune, NJ  07753
  • General Outpatient Services (Outpatient)

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