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

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
11/18/2021
Last Full Survey Date
10/8/2021
Last On-Site Survey Date
11/18/2021
Gold Seal
Laboratory
Accreditation Decision
Effective Date
4/9/2022
Last Full Survey Date
3/20/2024
Last On-Site Survey Date
3/20/2024

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Comprehensive Stroke Center
Certification Decision
Effective Date
11/10/2022
Last Full Survey Date
11/9/2022
Last On-Site Survey Date
11/9/2022
Gold Seal
Advanced Palliative Care
Certification Decision
Effective Date
4/4/2024
Last Full Survey Date
4/3/2024
Last On-Site Survey Date
4/3/2024
Gold Seal
Health Care Equity
Certification Decision
Effective Date
2/2/2024
Last Full Survey Date
2/1/2024
Last On-Site Survey Date
2/1/2024
Gold Seal
Heart Failure
Certification Decision
Effective Date
2/15/2024
Last Full Survey Date
2/14/2024
Last On-Site Survey Date
2/14/2024
Gold Seal
Inpatient Diabetes
Certification Decision
Effective Date
3/25/2023
Last Full Survey Date
3/24/2023
Last On-Site Survey Date
3/24/2023
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
1/25/2024
Last Full Survey Date
1/24/2024
Last On-Site Survey Date
1/24/2024
Gold Seal
Ventricular Assist Device
Certification Decision
Effective Date
8/9/2023
Last Full Survey Date
8/8/2023
Last On-Site Survey Date
8/8/2023

Sites

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

Available Services

  • Outpatient Clinics (Outpatient )

Ambulatory Surgical Center
Nicolls Road
Stony Brook, NY, 11794

Available Services

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

Edie Windsor Center
182 West Montauk Hwy
Hampton Bays, NY, 11946

Available Services

  • Single Specialty Practitioner (Outpatient )

EEG
181 Belle Meade Road
East Setauket, NY, 11733

Available Services

  • Outpatient Clinics (Outpatient )

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

Available Services

  • Outpatient Clinics (Outpatient )

Nephrology
26 Research Way
East Setauket, NY, 11733

Available Services

  • Outpatient Clinics (Outpatient )

Neurology, Medicine, Diabetes Ed, Peds
4 Smith Haven Mall
Lake Grove, NY, 11755

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
600 Montauk Highway
Center Moriches, NY, 11934

Available Services

  • Outpatient Clinics (Outpatient )

Pediatrics
450 Waverly Avenue
Patchogue, NY, 11772

Available Services

  • Outpatient Clinics (Outpatient )

Pediatrics
269 East Main St
East Islip, NY, 11730

Available Services

  • Outpatient Clinics (Outpatient )

Phillips Family Cancer Center
DBA: Phillips Family Cancer Center
740 County Road 39A
Southampton, NY, 11968

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 )

Physical Therapy Extension Clinic (Sports Rehabilitation)
46520 North Road
Southold, NY, 11971

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 )

Quannacut Outpt. Services Oasas Licensed Alcohol Clinic
905 East Main Street
Riverhead, NY, 11901

Available Services

  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Peer Support (Non 24 Hour Care )

Shinnecock Indian Health Service
Church Street
Southampton, NY, 11968

Available Services

  • Outpatient Clinics (Outpatient )

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

Available Services

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

Stony Brook Medicine Mobile Mammography
DBA: Stony Brook Medicine Mobile Mammography
2000 Ocean Ave
Ronkonkoma, NY, 11779

Available Services

  • Single Specialty Practitioner (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 Disorders Center
200 Motor Pkwy
Hauppauge, NY, 11788

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 )

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

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • 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 )
  • 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 )
  • Neuro/Spine ICU (Intensive Care Unit )
  • Neuro/Spine Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Nuclear Pharmacy (Inpatient )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • 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 )
  • 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
  • Health Care Equity
  • Heart Failure
  • Inpatient Diabetes
  • Ventricular Assist Device

University Hospital- Stony Brook Eastern Long Island Hospita
DBA: University Hospital- Stony Brook Eastern Long Island Hospita
201 Manor Place
Greenport, NY, 11944

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Chemical Dependency (Detox/Non-detox - Adult )
  • CT Scanner (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • Inpatient Unit (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical Detoxification (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Teleradiology (Imaging/Diagnostic Services )
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

University Hospital- Stony Brook Southampton Hospital
DBA: University Hospital- Stony Brook 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 )
  • Non-Sterile Medication Compounding (Inpatient )
  • 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 )
  • Sterile Medication Compounding (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
  • Primary Stroke Center

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

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Urgent Care (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 )

Cooperative Agreements

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.

Hospital 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Laboratory 2022 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.