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Quality Report

Summary of Quality Information
Albert Einstein Medical Center
Org ID: 6118
5501 Old York Road
Philadelphia, PA  19141
(215)456-7890
www.einstein.edu

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Behavioral Health Care
Accredited 12/9/2006 12/8/2006 12/8/2006  
Hospital
Accredited 12/9/2006 12/8/2006 12/3/2007  
Long Term Care
Accredited 12/9/2006 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 7/22/2009  7/21/2009  7/21/2009 


Other Accredited Programs / Services
Hospital  -  Accredited by American College of Radiology (Radiation Oncology)


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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
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
Heart Attack 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.
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 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 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 similar to the target range/value.
This organization’s performance is similar to 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)
Long Term 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.
*
 
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
Albert Einstein Medical Center  *
5501 Old York Road
Philadelphia, PA  19141-3098
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
Services:
  • Audiology (Inpatient, Outpatient)
  • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
    (24-hour Acute Care/Crisis Stabilization - Adult)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Inpatient, Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Developmental Disabilities - Hospital (Inpatient, Outpatient)
  • Dialysis (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Electroconvulsive Therapy (Inpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Family Practice (Inpatient, 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)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Long Term Care
  • 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)
  • 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, 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, Outpatient)
  • Rehabilitation Services
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Skilled Nursing Care
  • Skilled Nursing Facility (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient, Outpatient)
  • Trauma/Burn Unit (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient, Outpatient)
Einstein Center One
9880 Bustleton Ave.
Philadelphia, PA  19115
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
Germantown Community Health Services
One Penn Boulevard
Philadelphia, PA  19141
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
Services:
  • Anesthesia (Outpatient)
  • Behavioral Health (Residential / Group Homes - Adult)
    (Non 24 Hour Care - Adult/Child/Youth)
  • General Outpatient Services (Outpatient)
Moss Rehab
1200 W. Tabor Road
Philadelphia, PA  19141
  • Long Term Care
  • Pain Management (Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Rehabilitation Services
  • Skilled Nursing Care
  • Skilled Nursing Facility (Inpatient)
  • Sleep Center (Outpatient)
  • Wound Care (Outpatient)
Moss Rehab at Aria Health (Bucks)
380 Oxyford Valley
Langhorne, PA  19047
  • Rehabilitation (Inpatient)
Moss Rehab at Aria Health (Frankford)
Frankford Avenue and Wakeling Street
Philadelphia, PA  19124
  • Rehabilitation (Inpatient)
Moss Rehab at Sacred Heart Hospital
421 Chew Street
Allentown, PA  18102
  • Rehabilitation (Inpatient)
Moss Rehab at Woodbury
135 South Broad Street
Deptford, NJ  08096
  • General Outpatient Services (Outpatient)
Moss Rehab Community Residence
35 West Barber Street
Deptford, NJ  08096
  • General Outpatient Services (Outpatient)
Moss Rehab Einstein at Elkins Park
60 East Township Line Road
Elkins Park, PA  19027
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
Services:
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Neurology (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Podiatry (Inpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient)
  • Pulmonary Function Lab (Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Telemetry (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient)
Moss Rehab Outpatient Care at Blue Bell
721 Skippack Pike
Blue Bell, PA  19422
  • General Outpatient Services (Outpatient)
Moss Rehab Outpatient Care at Chalfont
1600 Manor Drive
Chalfont, PA  18914
  • General Outpatient Services (Outpatient)
Moss Rehab Outpatient Center at Bustleton
9892 Bustleton Pike
Philadelphia, PA  19115
  • General Outpatient Services (Outpatient)
Moss Rehab Outpatient Center at Center City
2400 Market Street
Philadelphia, PA  19103
  • General Outpatient Services (Outpatient)
Moss Rehab Outpatient Center at Jenkintown
201 Old York Road, Ste. 100
Jenkintown, PA  19046
  • General Outpatient Services (Outpatient)

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