Quality Report


Quality Report

Sutter Bay Hospitals

DBA: Alta Bates Summit Medical Center - Alta Bates Campus
HCO ID: 2073
2450 Ashby Avenue
Berkeley, CA, 94705
(510) 204-4444
www.altabatessummit.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
7/6/2022
Last Full Survey Date
7/5/2022
Last On-Site Survey Date
7/5/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
7/9/2022
Last Full Survey Date
7/8/2022
Last On-Site Survey Date
7/8/2022

Core Certification Programs

View Certification History
Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
3/8/2024
Last Full Survey Date
3/7/2024
Last On-Site Survey Date
3/7/2024
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
3/8/2024
Last Full Survey Date
3/7/2024
Last On-Site Survey Date
3/7/2024

Sites

Sutter Bay Hospitals
DBA: Alta Bates Summit Medical Center - 5700 Telegraph Avenue
5700 Telegraph Avenue
Oakland, CA, 94609

Available Services

  • Outpatient Clinics (Outpatient )

Sutter Bay Hospitals
DBA: Alta Bates Summit Medical Center
5730 Telegraph St.
Berkeley, CA, 94705

Available Services

  • Outpatient Clinics (Outpatient )

Sutter Bay Hospitals
DBA: Alta Bates Summit Medical Center - 3011 Telegraph Avenue
3011 Telegraph Avenue
Berkeley, CA, 94705

Available Services

  • Outpatient Clinics (Outpatient )

Sutter Bay Hospitals
DBA: Alta Bates Summit Medical Center - Lafayette Women's Health
3595 Mount Diablo Blvd. Suite 350
Lafayette, CA, 94549

Available Services

  • Outpatient Clinics (Outpatient )

Sutter Bay Hospitals
DBA: Alta Bates Summit Medical Center - Herrick campus
2001 Dwight Way
Berkeley, CA, 94704

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Eating Disorders
  • Eating Disorders
  • Eating Disorders (Inpatient - Adult )
  • Eating Disorders (Inpatient - Child/Youth )
  • Eating Disorders (Outpatient - Adult )
  • Eating Disorders (Outpatient - Child/Youth )
  • Eating Disorders (Day Programs - Adult )
  • Eating Disorders (Day Programs - Child/Youth )
  • Eating Disorders (Non 24 Hour Care - Adult )
  • Eating Disorders (Non 24 Hour Care - Child/Youth )
  • Eating Disorders (24-hour Acute Care/Crisis Stabilization - Adult )
  • Eating Disorders (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Eating Disorders (Partial Hospitalization - Adult )
  • Eating Disorders (Partial Hospitalization - Child/Youth )
  • Family Support (Non 24 Hour Care )
  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )

Other Clinics/Practices Located at This Site:

  • Comprehensive cancer center

Sutter Bay Hospitals
DBA: Alta Bates Summit Medical Center - Alta Bates campus
2450 Ashby Avenue
Berkeley, CA, 94705

Available Services

  • 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 )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee

Other Clinics/Practices Located at This Site:

  • Cardiac Rehab
  • diabetes Management
  • Pulmonary Rehab

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

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.

Hospital 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Hospital-Based Inpatient Psychiatric Services National Comparison: nd 2 Statewide Comparison: nd 2
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.