Quality Report


Quality Report

Berkshire Medical Center
HCO ID: 5602
725 North Street
Pittsfield, MA, 01201
(413) 447-2000
http://berkshirehealthsystems.org/
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
6/29/2019
Last Full Survey Date
6/28/2019
Last On-Site Survey Date
8/5/2019

Core Certification Programs

Gold Seal
Certification Decision
Effective Date
4/24/2019
Last Full Survey Date
4/23/2019
Last On-Site Survey Date
4/23/2019
Gold Seal
Certification Decision
Effective Date
4/24/2019
Last Full Survey Date
4/23/2019
Last On-Site Survey Date
4/23/2019

Sites

510 Medical Practice Building
510 North Street
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

  • BMC Audiology & Hearing Center

Berkshire Internists of BMC
777 North St.
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

Berkshire Medical Center
DBA: Berkshire Medical Center
725 North Street
Pittsfield, MA, 01201

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Adult )
  • Chemical Dependency (Detox - Adult )
  • 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 )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical Detoxification (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Peer Support (Non 24 Hour Care )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Sleep Laboratory (Sleep Laboratory )
  • 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

Berkshire OB/GYN at Berkshire Medical Center
DBA: Berkshire Medical Center
777 North St.
Pittsfield, MA, 01201

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Berkshire OB/GYN of BMC
55 Pittsfield Rd.
Lenox, MA, 01240

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Berkshire Surgical Services at BMC
777 North St.
Pittsfield, MA, 01201

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

BMC - Hillcrest Campus
DBA: BMC - Hillcrest Campus
165 Tor Court
Pittsfield, MA, 01201

Available Services

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

BMC Hematology Oncology of BMC
165 Tor Court
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

BMC Outpatient Imaging & Testing
DBA: Berkshire Medical Center
610 North Street
Pittsfield, MA, 01201

Available Services

  • Outpatient Clinics (Outpatient )

BMC Vein, Wound & Hyperbaric Medicine Center
66 Wahconah Street
Pittsfield, MA, 01201

Available Services

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

Cardiology Professional Services at BMC
777 North St.
Pittsfield, MA, 01201

Available Services

  • Outpatient Clinics (Outpatient )

Endocrinology & Metabolism at BMC
777 North St.
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

Gastroenterology Professional Services at BMC
777 North St.
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

Gynecology Services of the Berkshires of BMC
DBA: Gynecology Services of the Berkshires of BMC
2 Park St.
Adams, MA, 01220

Available Services

  • Single Specialty Practitioner (Outpatient )

Hillcrest Family Health Center at BMC
631B North Street
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

Kidney Disease & Hypertension Center
8 Conte Drive
Pittsfield, MA, 01201

Available Services

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

Kidney Disease & Hypertension Services of BMC
71 Hospital Ave.
North Adams, MA, 01247

Available Services

  • Single Specialty Practitioner (Outpatient )

Kidney Disease and Hypertension Ctr
777 North St.
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

Lenox Family Health Center
DBA: Lenox Family Health Center
55 Pittsfield Lenox Rd
Lenox, MA, 01240

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Medical Arts Building
DBA: Medical Arts Building
777 North Street
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

Neurology Professional Services at BMC
777 North St.
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

Neurosurgery Professional Services at BMC
777 North St.
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

North Adams Campus of Berkshire Medical Center
DBA: Berkshire Medical Center Satellite
71 Hospital Ave
North Adams, MA, 01247

Available Services

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

Other Clinics/Practices Located at This Site:

  • Ambulatory Surgery
  • Endoscopy

North County Renal Dialysis Services
77 Hospital Ave
North Adams, MA, 01247

Available Services

  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

North County Specialty Practices of BMC
71 Hospital Ave.
North Adams, MA, 01247

Available Services

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

Pain Diagnosis & Treatment Center at BMC
777 North St.
Pittsfield, MA, 01201

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Physical Medicine & Rehabilitation at BMC
777 North St.
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

Pulmonary Professional Services at BMC
725 North St.
Pittsfield, MA, 01201

Available Services

  • Outpatient Clinics (Outpatient )

Rheumatology Professional SVCS BMC
777 North Street, Suite 204
Pittsfield, MA, 01201

Available Services

  • Single Specialty Practitioner (Outpatient )

South Berkshire County Dialysis Center
DBA: South Berkshire County Dialysis Center
10 Maple Avenue
Great Barrington, MA, 01230

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

Surgical Professional Services at BMC
777 North St.
Pittsfield, MA, 01201

Available Services

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

The Crane Center for Ambulatory Surgery
DBA: The Crane Center
24 Park Street
Pittsfield, MA, 01201

Available Services

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

Urology Professional Services at BMC
41 Wahconah St.
Pittsfield, MA, 01201

Available Services

  • Perform Invasive Procedure (Outpatient )
  • 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
  • 2015 Silver Get With The Guidelines - Resuscitation

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: 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

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.