Quality Report


Quality Report

University of Minnesota Medical Center, Fairview
HCO ID: 2908
2450 Riverside Avenue
Minneapolis, MN, 55454
(612) 273-3000
www.fairview.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
4/14/2022
Last Full Survey Date
4/13/2022
Last On-Site Survey Date
4/13/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/23/2024
Last Full Survey Date
4/15/2022
Last On-Site Survey Date
2/22/2024

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Comprehensive Stroke Center
Certification Decision
Effective Date
8/18/2022
Last Full Survey Date
8/17/2022
Last On-Site Survey Date
8/17/2022
Gold Seal
Inpatient Diabetes
Certification Decision
Effective Date
2/12/2022
Last Full Survey Date
3/1/2024
Last On-Site Survey Date
3/1/2024
Gold Seal
Ventricular Assist Device
Certification Decision
Effective Date
9/21/2022
Last Full Survey Date
9/20/2022
Last On-Site Survey Date
9/20/2022

Sites

Fairview Recovery Services, Burnsville
14500 Burnhaven Drive, Suite 125
Burnsville, MN, 55337

Available Services

  • Addiction Services
  • Addiction Services (Non-detox - Adult )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Fairview Recovery Services, Crystal
2960 Winnetka Avenue North, Suite 101 & 102
Minneapolis, MN, 55427

Available Services

  • Addiction Services
  • Addiction Services (Non-detox - Adult )
  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Fairview Recovery Services, Edina
3400 West 66th Street, Suite 400
Edina, MN, 55435

Available Services

  • Addiction Services
  • Addiction Services (Non-detox - Adult )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Fairview Recovery Services, Elk River
1230 School Street
Elk River, MN, 55330

Available Services

  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Fairview Recovery Services, Forest Lake
20 North Lake Street, Suite 210
Forest Lake, MN, 55025

Available Services

  • Addiction Services
  • Addiction Services (Non-detox - Adult )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Fairview Recovery Services, Maplewood
1675 Beam Avenue, Suite 200
Saint Paul, MN, 55109

Available Services

  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Residential Care - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Other Clinics/Practices Located at This Site:

  • Adolescent Residential Substance Abuse Program

Fairview Rehabilitation Services
2220 University Avenue West, Suite 140
Saint Paul, MN, 55114

Available Services

  • Outpatient Clinics (Outpatient )

M Health Fairview Clinics and Surgery Center - Maple Grove
14500 99th Avenue North
Maple Grove, MN, 55369

Available Services

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

Other Clinics/Practices Located at This Site:

  • Fairview Rehabilitation Services
  • M Health Fairview Cancer Center - Maple Grove

Park Plaza Building
701 25th Avenue South
Minneapolis, MN, 55454

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Lions Children's Hearing & ENT Clinic
  • Minnesota Lions Children's Eye Clinic

University of Minnesota Clinics and Surgery Center
909 Fulton Street SE
Minneapolis, MN, 55414

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Advanced Treatment Center
  • Blood & Marrow Transplant (BMT)
  • Breast Center - Breast Clinic
  • Center for Lung Science & Health
  • Core Laboratory
  • Delaware Street & Infectious Disease
  • Heart Care
  • Hematology Oncology
  • Infusion / Special Infusion (SIPC)
  • Masonic Cancer Clinic
  • Multiple Sclerosis
  • Rheumatology, Nephrology, & Hepatology
  • Solid Organ Transplant

University of Minnesota Medical Center (Lakes)
DBA: Wyoming Cancer & Infusion Center
5200 Fairview Boulevard, Suite 1300
Wyoming, MN, 55092

Available Services

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

University of Minnesota Medical Center (Ridges)
DBA: Ridges Cancer & Infusion Center
14101 Fairview Drive, Suite 200
Burnsville, MN, 55337

Available Services

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

University of Minnesota Medical Center (Rv-2512)
2512 South Seventh Street
Minneapolis, MN, 55454

Available Services

  • Inpatient Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )

Certification Programs

  • Inpatient Diabetes

Other Clinics/Practices Located at This Site:

  • Acute Rehabilitation Unit (ARU)
  • Bleeding & Clotting
  • Children's Specialty Clinic (Discovery)
  • Children's Specialty Clinic (Safe & Healthy Child)
  • Children’s Specialty Clinic (Voyager)

University of Minnesota Medical Center (Rv-East)
608 25th Avenue South
Minneapolis, MN, 55454

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Community Integration (Non 24 Hour Care )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Family Support (Non 24 Hour Care )
  • 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 )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • 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 )
  • Thoracic Surgery (Surgical Services )
  • Transplant Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Inpatient Diabetes

Other Clinics/Practices Located at This Site:

  • Children's Cardiovascular Services
  • Children's Specialty Clinic (Explorer)
  • Children's Specialty Clinic (Journey)
  • Outpatient Pediatric Rehabilitation

University of Minnesota Medical Center (Rv-North)
525 23rd Avenue South
Minneapolis, MN, 55454

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Inpatient Unit (Inpatient )
  • Medical /Surgical Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )

Certification Programs

  • Inpatient Diabetes

Other Clinics/Practices Located at This Site:

  • 55+ Outpatient Program
  • Adult MI / CD Program
  • Adult Partial Hospital Program

University of Minnesota Medical Center (Rv-Prof)
606 24th Avenue South
Minneapolis, MN, 55454

Available Services

  • Administration of Blood Product (Outpatient )
  • High Risk Sterile Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Adult Specialty Clinic & Infusion Center
  • Maternal Fetal Medicine Center
  • Women's Health Specialists

University of Minnesota Medical Center (Rv-West)
2312 South 6th Street
Minneapolis, MN, 55454

Available Services

  • Addiction Services
  • Addiction Services (Detox - Adult )
  • Addiction Services (Non-detox - Adult )
  • 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 )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Adult )
  • Chemical Dependency (Residential Care - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Detox - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Inpatient Unit (Inpatient )
  • Medical /Surgical Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )

Certification Programs

  • Inpatient Diabetes

Other Clinics/Practices Located at This Site:

  • Adolescent Day Treatment
  • Adult Chemical Dependency Outpatient Services
  • Adult Day Treatment
  • Child Day Treatment
  • Compulsive Gambling Program
  • Outpatient Cardiac & Pulmonary Rehabilitation
  • Psychiatry Clinic

University of Minnesota Medical Center (Southdale)
DBA: Southdale Cancer & Infusion Center
6363 France Avenue South, Suite 610
Edina, MN, 55435

Available Services

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

University of Minnesota Medical Center (U-PWB)
516 Delaware Street SE
Minneapolis, MN, 55455

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Clinical Research Unit (CRU)
  • Eye (Ophthalmology) Clinic

University of Minnesota Medical Center (U-Unit J)
500 Harvard Street
Minneapolis, MN, 55455

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 )
  • 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 )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • 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 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
  • Inpatient Diabetes
  • Ventricular Assist Device

University of Minnesota Medical Center, Fairview (Rv-South)
2450 Riverside Avenue
Minneapolis, MN, 55454

Available Services

  • Dialysis Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Pediatric Unit (Inpatient )

Certification Programs

  • Inpatient Diabetes

Other Clinics/Practices Located at This Site:

  • Pediatric Kidney Center

Cooperative Agreements

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

Laboratory - Accredited by American Society for Histocompatibility and Immunogenetics (ASHI)

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.

Behavioral Health Care and Human Services 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2024 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.