The Joint Commission
Quality Check
Accreditation Quality Report
 > Summary of Accreditation Quality Information
 > Accredited Programs
 > Accreditation National Patient Safety Goals
 > Sites and Services
 > Accreditation History
 > Download Accreditation PDF Report
 > Download Accreditation PDF Report - Include Quarterly Data
 > Accreditation Quality Report User Guide
Certification Quality Report
 > View Certification Quality Report
Quality Report

Summary of Quality Information
Rush University Medical Center
Org ID: 7297
1653 West Congress Parkway
Chicago, IL  60612
(312)563-3591
www.rush.edu

Accreditation
Programs 		Accreditation
Decision 		Effective
Date 		Last Full Survey Date Last On-Site Survey Date
Laboratory Accreditation Program
Accredited 8/4/2012 8/3/2012   8/3/2012  
Behavioral Health Care
Accredited 9/18/2012 9/17/2012   9/17/2012  
Hospital
Accredited 9/22/2012 9/21/2012   9/21/2012  


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


Advanced Certification
Programs 		Certification
Decision 		Effective
Date 		Last Full
Review Date 		Last On-Site
Review Date
Primary Stroke Center
Certification 11/12/2011  11/11/2011  11/11/2011 




Other Accredited Programs / Services
Hospital  -  Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)


- Top -
  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.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Laboratory Accreditation Program
2012 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.
*
Behavioral Health Care
2012 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
2012 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:
Oct  2011 -
Sep  2012
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.
Perinatal Care See Detail
Not displayed.
10
Not displayed.
10
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 above the target range/value.
This organization’s performance is above 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 above the target range/value.
This organization’s performance is above 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 above the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
  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.

- Top -
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
Anchor Lincoln Park Medical Office
2835 N. Sheffield, Suite 104
Chicago, IL  60657
    Services:
    • Outpatient Clinics (Outpatient)
    C.A. Hedberg and Associates
    230 W. Monroe Street, Suite 1925
    Chicago, IL  60606
      Services:
      • Outpatient Clinics (Outpatient)
      Dermatology, Westmont
      6319 S. Fairview, Suite 102
      Westmont, IL  60559
        Services:
        • Outpatient Clinics (Outpatient)
        • Perform Invasive Procedure (Outpatient)
        High School Clinic - Crane
        2245 W. Jackson Blvd, Room 110
        Chicago, IL  60612
          Services:
          • Outpatient Clinics (Outpatient)
          High School Clinic - Orr
          730 N. Pulaski Avenue, Room 109
          Chicago, IL  60624
            Services:
            • Outpatient Clinics (Outpatient)
            High School Clinic - Simpson
            1321 S. Paulina Street, Room 107
            Chicago, IL  60608
              Services:
              • Outpatient Clinics (Outpatient)
              RUMC - 1611 W. Harrison Street
              1611 W. Harrison Street
              Chicago, IL  60612
              Other Clinics/Practices located at this site:
              • Internal Medicine at Rush
              • Rush Otolaryngology, Head and Neck Surgery
              • University Rheumatologists
              Services:
              • Administration of High Risk Medications (Outpatient)
              • Outpatient Clinics (Outpatient)
              • Perform Invasive Procedure (Outpatient)
              RUMC - 1645 W. Jackson Boulevard
              1645 W. Jackson Boulevard
              Chicago, IL  60612
              Other Clinics/Practices located at this site:
              • Adolescent Family Center
              • Lifetime Medical Associates
              • Rush Associates in Women's Health
              • Rush Pediatric Primary Care
              • Women's Healthcare at Rush
              Services:
              • Outpatient Clinics (Outpatient)
              • Perform Invasive Procedure (Outpatient)
              RUMC - 1650 W. Harrison Street
              1650 W. Harrison Street
              Chicago, IL  60612
              Other Clinics/Practices located at this site:
              • Rush Center for Congenital and Structural Heart Disease
              Services:
              • Outpatient Clinics (Outpatient)
              RUMC - 1700 W. Van Buren Street
              1700 W. Van Buren Street
              Chicago, IL  60612
              Other Clinics/Practices located at this site:
              • Earvolino and Associates
              • Rush Hypertension Clinic
              • Rush University Internists
              • University Family Physicians
              Services:
              • Outpatient Clinics (Outpatient)
              • Perform Invasive Procedure (Outpatient)
              RUMC - 1725 W. Harrison Street
              1725 W. Harrison Street
              Chicago, IL  60612
              Other Clinics/Practices located at this site:
              • Associates in Internal Medicine
              • Breast Imaging Center
              • Consultants in Allergy and Immunology
              • Consultants in Endocrinology
              • Dermatology Clinic
              • Pediatric Specialists
              • Pulmonary Clinic and Pulmonary Function Lab
              • Rush Cancer Center
              • Rush Craniofacial Center
              • Rush University Senior Care
              • Rush University Surgeons
              • Rush University Urology
              • Solid Organ Transplant Program
              • University Cardiologists
              • University Cardiovascular Surgeons
              • University Gastroenterology
              • University Gynecologic Oncology Assoc
              • University Hepatology
              • University Neurologists
              • University Neurologists, Movement Disorders
              • University Neurologists, Multiple Sclerosis Center
              • University Neurosurgeons
              • University Physical Medicine and Rehabilitation
              • University Thoracic Surgeons
                RUMC - 600 S. Paulina Street
                600 S. Paulina Street
                Chicago, IL  60612
                Other Clinics/Practices located at this site:
                • Alzheimer's Disease Center and Memory Clinic
                • Infectious Diseases at Rush
                Services:
                • Outpatient Clinics (Outpatient)
                RUMC - 610 S. Maple Avenue
                610 S. Maple Avenue
                Oak Park, IL  60304
                Other Clinics/Practices located at this site:
                • Rush Associates in Women's Health - Oak Park
                • Rush Cancer Center - Oak Park
                • Rush Otolaryngology - Head and Neck Surgery
                • University Cardiologists at Rush Oak Park
                • University Consultants in Allergy and Immunology
                • University Gastroenterologists
                • University Hepatology - Oak Park
                Services:
                • Administration of Blood Product (Outpatient)
                • Administration of High Risk Medications (Outpatient)
                • Outpatient Clinics (Outpatient)
                • Perform Invasive Procedure (Outpatient)
                RUMC - 710 S. Paulina Street
                710 S. Paulina Street
                Chicago, IL  60612
                    Rush Center for Advanced Reproductive Care/Andrology Lab
                    1725 W. Harrison Street, Suite 119
                    Chicago, IL  60612
                      Services:
                      • General Laboratory Tests
                      • Laboratory Draw Station (Outpatient)
                      Rush Center for Advanced Reproductive Care/Embryology Lab
                      1725 W. Harrison Street, Suite 217
                      Chicago, IL  60612
                        Services:
                        • General Laboratory Tests
                        • Laboratory Draw Station (Outpatient)
                        Rush Children's Hospital - Specialists
                        1800 McDonough Road, Suite 203
                        Hoffman Estates, IL  60192
                          Services:
                          • Outpatient Clinics (Outpatient)
                          Rush Children's Hospital Specialists, Rush Copley
                          2020 Ogden Avenue, Suite 400
                          Aurora, IL  60504
                            Services:
                            • Outpatient Clinics (Outpatient)
                            Rush Day School and Rush Day Hospital
                            2150 W. Harrison Street, 1st Floor
                            Chicago, IL  60612
                              Services:
                              • Behavioral Health (Day Programs - Adult/Child/Youth)
                                (Non 24 Hour Care - Adult/Child/Youth)
                                (Partial - Adult/Child/Youth)
                              • Peer Support (Non 24 Hour Care)
                              • Therapeutic Day School (Day Programs - Child/Youth)
                                (Partial - Child/Youth)
                              Rush Neurobehavioral Center
                              4711 W. Golf Road, Suite 1100
                              Skokie, IL  60076
                                Services:
                                • Outpatient Clinics (Outpatient)
                                Rush University Medical Center  *
                                1653 West Congress Parkway
                                Chicago, IL  60612
                                Joint Commission Advanced Certification Programs:
                                • Primary Stroke Center
                                  Services:
                                  • Behavioral Health (Day Programs - Adult/Child/Youth)
                                    (Non 24 Hour Care - Adult/Child/Youth)
                                    (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
                                    (Partial - Adult/Child/Youth)
                                  • 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)
                                  • Ear/Nose/Throat Surgery (Surgical Services)
                                  • Eating Disorders (Outpatient)
                                  • 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 (Inpatient, Outpatient, Imaging/Diagnostic Services)
                                  • Labor & Delivery (Inpatient)
                                  • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
                                  • Medical /Surgical Unit (Inpatient)
                                  • Medical ICU (Intensive Care Unit)
                                  • Neuro/Spine ICU (Intensive Care Unit)
                                  • Neuro/Spine Unit (Inpatient)
                                  • Neurosurgery (Surgical Services)
                                  • Normal Newborn Nursery (Inpatient)
                                  • Nuclear Medicine (Imaging/Diagnostic Services)
                                  • Orthopedic Surgery (Surgical Services)
                                  • Orthopedic/Spine Unit (Inpatient)
                                  • Pediatric Cardiac Catheterization (Inpatient - Child/Youth)
                                    (Outpatient - Child/Youth)
                                  • Pediatric Cardiology (Inpatient - Child/Youth)
                                    (Outpatient - Child/Youth)
                                  • Pediatric Cardiothoracic Surgery (Inpatient - Child/Youth)
                                    (Outpatient - Child/Youth)
                                  • Pediatric Dentistry (Inpatient - Child/Youth)
                                    (Outpatient - Child/Youth)
                                  • Pediatric Dermatology (Inpatient - Child/Youth)
                                    (Outpatient - Child/Youth)
                                  • Pediatric Emergency Medicine (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 Nephrology (Inpatient - Child/Youth)
                                    (Outpatient - 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)
                                    (Outpatient - Child/Youth)
                                  • Pediatric Otolaryngology (Inpatient - Child/Youth)
                                    (Outpatient - Child/Youth)
                                  • Pediatric Plastic Surgery (Inpatient - Child/Youth)
                                    (Outpatient - Child/Youth)
                                  • 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)
                                  • Sleep Laboratory (Sleep Laboratory)
                                  • Surgical ICU (Intensive Care Unit)
                                  • Surgical Unit (Inpatient)
                                  • Thoracic Surgery (Surgical Services)
                                  • Transplant Surgery (Surgical Services)
                                  • Ultrasound (Imaging/Diagnostic Services)
                                  • Urology (Surgical Services)
                                  • Vascular Surgery (Surgical Services)
                                  Rush University Medical Center at Lisle
                                  430 Warrenville Road
                                  Lisle, IL  60532
                                      Rush University Urology
                                      900 N. Westmoreland, Suite 226
                                      Lake Forest, IL  60045
                                        Services:
                                        • Administration of High Risk Medications (Outpatient)
                                        • Outpatient Clinics (Outpatient)
                                        • Perform Invasive Procedure (Outpatient)
                                        Sleep Center
                                        710 S. Paulina, 600 South
                                        Chicago, IL  60612
                                          Services:
                                          • Outpatient Clinics (Outpatient)
                                          University Family Physicians Southwest
                                          7000 W. 111th Street, Suite 210
                                          Worth, IL  60482
                                            Services:
                                            • Outpatient Clinics (Outpatient)
                                            • Perform Invasive Procedure (Outpatient)
                                            University Thoracic Surgeons
                                            9669 N. Kenton Road, Suite 604
                                            Skokie, IL  60076
                                              Services:
                                              • Outpatient Clinics (Outpatient)

                                              - Top -
                                              The Joint Commission obtains information about accredited/certified organizations not only through direct observations by its employees …Read more.
                                              Search | About Quality Check | Take Our Survey | Certified Organizations | Quality Data Download | Contact Us | Help | Privacy Policy
                                              		 © 2013 The Joint Commission, All Rights Reserved

                                              This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
                                              verify here.