Quality Report


Quality Report

University Hospital (Stony Brook)

DBA: Stony Brook University Hospital
HCO ID: 5188
Health Sciences Center Suny Stony Brook
Stony Brook, NY, 11794-8503
(631) 444-2721
www.stonybrookmedicine.edu
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
4/28/2018
Last Full Survey Date
4/27/2018
Last On-Site Survey Date
2/27/2019

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
6/18/2018
Last Full Survey Date
5/15/2018
Last On-Site Survey Date
5/15/2018
Gold Seal
Certification Decision
Effective Date
5/18/2017
Last Full Survey Date
5/17/2017
Last On-Site Survey Date
5/17/2017
Gold Seal
Certification Decision
Effective Date
9/21/2017
Last Full Survey Date
9/20/2017
Last On-Site Survey Date
9/20/2017
Gold Seal
Certification Decision
Effective Date
3/15/2017
Last Full Survey Date
3/14/2017
Last On-Site Survey Date
3/14/2017

Sites

Adult Psychiatry
181 N. Belle Mead Rd, Suite 2
Stony Brook, NY, 11794

Available Services

  • Outpatient Clinics (Outpatient )

Ambulatory Care Pavilion
East Campus Edmund D. Pelligrino Road
Stony Brook, NY, 11794

Available Services

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

Ambulatory Surgical Center
Nicolls Road
Stony Brook, NY, 11794

Available Services

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

Family Practice
181 North Belle Meade Road
East Setauket, NY, 11733

Available Services

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

G.I.Services
3 Technology Drive
East Setauket, NY, 11733

Available Services

  • Outpatient Clinics (Outpatient )

Greenport Prenatal Center
300 Atlantic Avenue Gladys Brooks Med Village
Greenport, NY, 11944

Available Services

  • Single Specialty Practitioner (Outpatient )

Neurology & EEG
181 Belle Meade Road
East Setauket, NY, 11733

Available Services

  • Outpatient Clinics (Outpatient )

Neuropsychology Services
DBA: Neuropsychology Services
14 Technology Drive suite 12B
Stony Brook, NY, 11794

Available Services

  • Outpatient Clinics (Outpatient )

Non Invasive Cardiology
200 Motor Pkwy
Hauppauge, NY, 11788

Available Services

  • Outpatient Clinics (Outpatient )

OB/GYN
6 Technology Drive
East Setauket, NY, 11733

Available Services

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

Orthopaedics Hand & Spine Center
14 Research Way
East Setauket, NY, 11733

Available Services

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

Outpatient Imaging Extension Clinic
DBA: Outpatient Imaging Extension Clinic
182 West Montauk Highway, Building B
Hampton Bays, NY, 11946

Available Services

  • Single Specialty Practitioner (Outpatient )

Outpatient Services in Hampton Bays
225 West Montauk Highway
Hampton Bays, NY, 11946

Available Services

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

Peconic Regional Dialysis
184 West Montauk Highway
Hampton Bays, NY, 11946

Available Services

  • Dialysis (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Pediatrics
450 Waverly Avenue
Patchogue, NY, 11772

Available Services

  • Outpatient Clinics (Outpatient )

Pediatrics
600 Montauk Highway
Center Moriches, NY, 11934

Available Services

  • Outpatient Clinics (Outpatient )

Pediatrics
2701 Sunrise Highway
Islip Terrace, NY, 11752

Available Services

  • Outpatient Clinics (Outpatient )

Preoperative Services
DBA: Preoperative Services
1320 Stony Brook Road Suite E
Stony Brook, NY, 11794

Available Services

  • Outpatient Clinics (Outpatient )

Risk Reduction& Disease Management,
26 Research Way
East Setauket, NY, 11733

Available Services

  • Outpatient Clinics (Outpatient )

Rogers HIV/AIDS Center
335D Meeting House Lane
Southampton, NY, 11968

Available Services

  • Single Specialty Practitioner (Outpatient )

Shinnecock Indian Health Service
Church Street
Southampton, NY, 11968

Available Services

  • Single Specialty Practitioner (Outpatient )

Southampton Hospital
240 Meeting House Lane
Southampton, NY, 11968

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • 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 )
  • 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 )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Palliative Care

Speech, Language & Hearing/Opthomology/Pediatrics/PT-OT
33 Research Way
East Setauket, NY, 11733

Available Services

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

Stony Brook Primary Care Center,Internal Medicine
205 North Belle Meade Road
East Setauket, NY, 11733

Available Services

  • Outpatient Clinics (Outpatient )

Stony Brook Sleep Lab
240 Middle Country Road
Smithtown, NY, 11787

Available Services

  • Outpatient Clinics (Outpatient )

Stony Brook Southampton Hospital East Hampton Radiology & L
200 Pantigo Place
East Hampton, NY, 11937

Available Services

  • Outpatient Clinics (Outpatient )

Surgical Care Center ENT Pediatric Specialty
37 Research Way
East Setauket, NY, 11733

Available Services

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

University Hospital (Stony Brook)
DBA: Stony Brook University Hospital
Nicolls Road
Stony Brook, NY, 11794-8503

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Burn Unit (Inpatient )
  • 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 )
  • 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 )
  • 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 )
  • Neuro/Spine ICU (Intensive Care Unit )
  • Neuro/Spine Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • 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 )
  • 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
  • Heart Failure
  • Ventricular Assist Device

Urology/Neuro Surgery/Plastics
24 Research Way
East Setauket, NY, 11733

Available Services

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

Westhampton Primary Care
147 Beach Road
Westhampton Beach, NY, 11978

Available Services

  • Single Specialty Practitioner (Outpatient )

Westhampton Sports Rehab
147 Beach Road
Westhampton Beach, NY, 11978

Available Services

  • Single Specialty Practitioner (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
  • 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program

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 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: July 2017 - June 2018
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

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.