Quality Report


Quality Report

UCSF Medical Center
HCO ID: 10095
505 Parnassus Avenue
San Francisco, CA, 94143
(415) 476-1000
www.ucsfhealth.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
11/22/2023
Last Full Survey Date
7/22/2022
Last On-Site Survey Date
11/21/2023
Gold Seal
Laboratory
Accreditation Decision
Effective Date
8/13/2022
Last Full Survey Date
8/12/2022
Last On-Site Survey Date
8/12/2022

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
9/1/2022
Last Full Survey Date
8/31/2022
Last On-Site Survey Date
8/31/2022
Gold Seal
Certification Decision
Effective Date
12/1/2022
Last Full Survey Date
11/30/2022
Last On-Site Survey Date
11/30/2022
Gold Seal
Certification Decision
Effective Date
12/13/2023
Last Full Survey Date
12/12/2023
Last On-Site Survey Date
12/12/2023

Sites

Ambulatory Care at Pritzker Building
DBA: Nancy Friend Pritzker Psychiatry Building
675 18th Street
San Francisco, CA, 94107

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Cardiovascular Care & Prevention Center
1 Daniel Burnham Court, Suite 260
San Francisco, CA, 94109

Available Services

  • Outpatient Clinics (Outpatient )

Dermatology Faculty Practice
1701 Divisadero Street, Suite 310
San Francisco, CA, 94115

Eye Care at UCSF Wayne and Gladys Valley Center
490 Illinois Street, SF CA
San Francisco, CA, 94143

Available Services

  • Single Specialty Practitioner (Outpatient )

Family Medicine Center at Lakeshore
1569 Sloat Boulevard
San Francisco, CA, 94143

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Gastroenterology (GI) Mt. Zion Faculty
1701 Divisadero Street, Suite 120
San Francisco, CA, 94115

Available Services

  • General Laboratory Tests

General Medicine Mt. Zion Practice
1701 Divisadero Avenue, Box 1731
San Francisco, CA, 94115

Available Services

  • General Laboratory Tests

Madison Clinic for Pediatric Diabetes
1500 Owens Street, 3rd Floor
San Francisco, CA, 94158

Available Services

  • General Laboratory Tests

Mission Bay Pharmacy
1600 Owens Street
San Francisco, CA, 94158

Available Services

  • High Risk Sterile Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )

Outpatient Surgery Center at Parnassus
400 Parnassus Ave., Floor B1, Room A03
San Francisco, CA, 94143

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Pediatric Cellular Therapy Laboratory
1975 4th Street, Room C4C60
San Francisco, CA, 94158

Available Services

  • General Laboratory Tests

Pediatric Outpatient Rehabilitation
500 Parnassus Avenue
San Francisco, CA, 94143

Available Services

  • Outpatient Clinics (Outpatient )

Positive Health Practice
350 Parnassus Avenue, Suite 908
San Francisco, CA, 94143

Available Services

  • General Laboratory Tests

Psoriasis Treatment Center
515 Spruce Street
San Francisco, CA, 94143

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UC Chronic Dialysis Mt Zion
1675 Scott Street
San Francisco, CA, 94115

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

UC Health Primary Care at China Basin
185 Berry Street, Suite 1000 Lobby 1
San Francisco, CA, 94107

Available Services

  • General Laboratory Tests

UCSF Ambulatory Care Clinic
400 Parnassus Avenue
San Francisco, CA, 94143

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • General Laboratory Tests
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UCSF Ambulatory Clinic at Mission Bay
1825 4th Street
San Francisco, CA, 94158

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Dialysis (Outpatient )
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UCSF Ambulatory Clinics (Parnassus Heights)
350 Parnassus Avenue
San Francisco, CA, 94143

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UCSF Ambulatory Services at Mission Bay (Owens Street)
1500 Owens Street
San Francisco, CA, 94143-0208

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UCSF Benioff Children's/Betty Irene Moore Women's/Bakar Canc
1975 4th Street
San Francisco, CA, 94158

Available 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 )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient 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 )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Transplant Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Certification Programs

  • Advanced Palliative Care

UCSF Cardiovascular Care & Prevention Center
535 Mission Bay Blvd
San Francisco, CA, 94158

Available Services

  • Outpatient Clinics (Outpatient )

UCSF Center for Geriatric Care
3575 Geary Blvd 1st Floor
San Francisco, CA, 94143

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

UCSF Center for Reproductive Health
499 Illinois Street
San Francisco, CA, 94158

Available Services

  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UCSF Clinical Cancer Center
1600 Divisadero Street
San Francisco, CA, 94115

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )

UCSF Dermatology China Basin
185 Berry Street, S1000
San Francisco, CA, 94107

Available Services

  • General Laboratory Tests

UCSF Employee and Occupational Health
2330 Post Street, Suite 460
San Francisco, CA, 94115

Available Services

  • General Laboratory Tests

UCSF Gender Affirming Health Program
1725 Montgomery Street, Suite 250
San Francisco, CA, 94111

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

UCSF General Internal Medicine
1545 Divisadero Street, 1st and 2nd Floors
San Francisco, CA, 94143

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

UCSF General Internal Medicine
1545 Divisadero St., 2nd Floor
San Francisco, CA, 94143

Available Services

  • General Laboratory Tests

UCSF Medical Center
505 Parnassus Avenue
San Francisco, CA, 94143

Available Services

  • 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 )
  • General Laboratory Tests
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • 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 )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Nuclear Pharmacy (Inpatient )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • 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 )

Certification Programs

  • Advanced Comprehensive Stroke Center
  • Advanced Palliative Care
  • Ventricular Assist Device

UCSF Medical Center at Mission Bay Anatomic Pathology
1825 4th Street, Room M2369
San Francisco, CA, 94158

Available Services

  • General Laboratory Tests

UCSF Medical Center at Mount Zion
1600 Divisadero Street
San Francisco, CA, 94115

Available Services

  • CT Scanner (Imaging/Diagnostic Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Orthopedic Surgery (Surgical Services )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Surgical Unit (Inpatient )
  • Ultrasound (Imaging/Diagnostic Services )

UCSF Medical Center at Mount Zion Anatomic Pathology
1600 Divisadero Street, Suite R200
San Francisco, CA, 94115

Available Services

  • General Laboratory Tests

UCSF Medical Center In-Patient POCT Lab
505 Parnassus Avenue
San Francisco, CA, 94143

Available Services

  • General Laboratory Tests

UCSF Medical Center Mount Zion Radiology
2330 Post Street, Suite 159
San Francisco, CA, 94115

Available Services

  • General Laboratory Tests

UCSF Medical Center POCT Lab
1975 4th Street
San Francisco, CA, 94158

Available Services

  • General Laboratory Tests
  • Toxicology

Other Clinics/Practices Located at This Site:

  • UCSF at Mission Bay In-Patient POCT Lab
  • UCSF at Mission Bay Out-Patient POCT Lab
  • UCSF Medical Center at Mission Bay Anatomic Pathology

UCSF Mount Zion Ambulatory Clinics (MOB-1)
2330 Post Street
San Francisco, CA, 94115

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • UCSF Medical Center Mount Zion Radiology Suite 159

UCSF Mount Zion Ambulatory Clinics (MOB-2)
1701 Divisadero Street
San Francisco, CA, 94115

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Gastroenterology (GI) Mt. Zion Faculty

UCSF Mount Zion Shumate Building
2380 Sutter Street
San Francisco, CA, 94143

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UCSF Mt. Zion POCT Lab
1600 Divisadero Street
San Francisco, CA, 94143

Available Services

  • General Laboratory Tests

UCSF Neuropathology BTRC Biomarkers Laboratory
1450 3rd Street
San Francisco, CA, 94158

Available Services

  • General Laboratory Tests

UCSF Orthopedic Institute
1500 Owens Street
San Francisco, CA, 94143

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )

UCSF Owens Street OB/GYN
1500 Owens Street, Suite 380
San Francisco, CA, 94158

Available Services

  • General Laboratory Tests

UCSF Pain Management Center
2255 Post Street
San Francisco, CA, 94115

Available Services

  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UCSF Pediatric Specialties Practice
1300 South Eliseo Dr. #204
Greenbrae, CA, 94904

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

UCSF Primary Care China Basin
185 Berry Street Suite 130
San Francisco, CA, 94107

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

UCSF Primary Care Laurel Village
3490 California Street, Suite 200
San Francisco, CA, 94118

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

UCSF Radiology Imaging Center Laboratory
185 Berry Street, Suite 190
San Francisco, CA, 94143-0628

Available Services

  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UCSF San Mateo Primary and Specialty Care
1100 San Mateo, Suite 100
Daly City, CA, 94015

Available Services

  • Outpatient Clinics (Outpatient )

UCSF San Mateo Primary and Specialty Care
1100 Park Place, Suite 100
San Mateo, CA, 94403

Available Services

  • General Laboratory Tests

UCSF Women's Health Center
2356 Sutter Street
San Francisco, CA, 94115

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Weill Institute for Neurosciences
1651 4th Street
San Francisco, CA, 94158

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Cooperative Agreements

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Laboratory 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.