Quality Report


Quality Report

Kaiser Foundation Hospitals-Baldwin Park Medical Center

DBA: Baldwin Park Medical Center
HCO ID: 125213
1011 Baldwin Park Boulevard
Baldwin Park, CA, 91706
(626) 851-1011
www.kp.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
2/24/2018
Last Full Survey Date
2/23/2018
Last On-Site Survey Date
12/17/2019

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
6/9/2021
Last Full Survey Date
6/8/2021
Last On-Site Survey Date
6/8/2021
Gold Seal
Certification Decision
Effective Date
3/13/2020
Last Full Survey Date
3/12/2020
Last On-Site Survey Date
3/12/2020
Gold Seal
Certification Decision
Effective Date
5/12/2021
Last Full Survey Date
5/11/2021
Last On-Site Survey Date
5/11/2021
Gold Seal
Certification Decision
Effective Date
12/4/2020
Last Full Survey Date
12/3/2020
Last On-Site Survey Date
12/3/2020

Core Certification Programs

Gold Seal
Certification Decision
Effective Date
9/22/2021
Last Full Survey Date
9/21/2021
Last On-Site Survey Date
9/21/2021

Sites

Kaiser Foundation Hospital-Baldwin Park Medical Center
DBA: Baldwin Park Medical Center
1011 Baldwin Park Blvd.
Baldwin Park, CA, 91706

Available Services

  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (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 )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Teleradiology (Imaging/Diagnostic Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Palliative Care
  • Advanced Total Hip and Total Knee Replacement
  • Heart Failure
  • Primary Stroke Center
  • Sepsis

Kaiser Permanente Irwindale Ambulatory Surgery Unit
12761 Schabarum Avenue, Irwindale, CA
Irwindale, CA, 91706

Available Services

  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Kaiser Permannte Peritoneal Dialysis Training
DBA: Outpatient Peritoneal Dialysis Training
1813 N. Hacienda Blvd.
La Puente, CA, 91744

Available Services

  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

Special Quality Awards

   Due to our commitment to accurate data reporting, The Joint Commission is suspending the practice of updating Special Quality Awards until
  further notice
  • 2014 Gold Plus Get With The Guidelines - Stroke

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below 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.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below 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.

The Joint Commission only reports measures endorsed by the National Quality Forum.
* 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.

Hospital 2019 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2019 - December 2019
Emergency Department National Comparison: nd 2 Statewide Comparison: nd 2
Immunization National Comparison: nd 2 Statewide Comparison: nd 2
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2
Tobacco Treatment National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

The Joint Commission only reports measures endorsed by the National Quality Forum.
* State results are not calculated for the National Patient Safety Goals.