Quality Report


Quality Report

Beth Israel Deaconess Hospital Plymouth
HCO ID: 5603
275 Sandwich Street
Plymouth, MA, 02360
(508) 746-2000
http://www.bidplymouth.org/
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Home Care
Accreditation Decision
Effective Date
1/11/2019
Last Full Survey Date
1/10/2019
Last On-Site Survey Date
1/10/2019
Gold Seal
Hospital
Accreditation Decision
Effective Date
1/12/2019
Last Full Survey Date
1/11/2019
Last On-Site Survey Date
2/20/2019

Core Certification Programs

View Certification History
Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
9/10/2020
Last Full Survey Date
8/4/2020
Last On-Site Survey Date
8/4/2020
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
9/10/2020
Last Full Survey Date
8/4/2020
Last On-Site Survey Date
8/4/2020

Sites

Beth Israel Deaconess HealthCare Pembroke Lab
295 Old Oak Street
Pembroke, MA, 02359

Available Services

  • Laboratory Draw Station (Outpatient )

Beth Israel Deaconess Hospital-Plymouth
275 Sandwich Street
Plymouth, MA, 02360

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (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 )
  • 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 )
  • 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 )
  • 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

Beth Israel Deaconess Hospital-Plymouth Imaging at the Park
45 Resnik Road, Suite 1400, Office 106
Plymouth, MA, 02360

Available Services

  • Outpatient Clinics (Outpatient )

Beth Israel Deaconess Hospital-Plymouth Lab
41 Resnik Road, 3rd floor
Plymouth, MA, 02360

Available Services

  • Laboratory Draw Station (Outpatient )

Beth Israel Deaconess Hospital-Plymouth Rehabilitation
Pine Hills, 3 Village Green North, 3rd Flr, Ste 331
Plymouth, MA, 02360

Available Services

  • Outpatient Clinics (Outpatient )

Beth Israel Deaconess Hospital-Plymouth Rehabilitation
10 Cordage Park Circle, Suite 225
Plymouth, MA, 02360

Available Services

  • Outpatient Clinics (Outpatient )

Beth Israel Deaconess Hospital-Plymouth Sleep Center
45 Resnik Road
Plymouth, MA, 02360

Available Services

  • Outpatient Clinics (Outpatient )

Cape Lab Drawing Station
83 Route 130
Sandwich, MA, 02563

Available Services

  • Laboratory Draw Station (Outpatient )

Cranberry Hospice
36 Cordage Park Circle Suite 326
Plymouth, MA, 02360

Available Services

  • Hospice Care

Duxbury Lab Drawing Station
95 Tremont Street
Duxbury, MA, 02331

Available Services

  • Laboratory Draw Station (Outpatient )

Industrial Park Lab Drawing Station
45 Resnik Road, Suite 101
Plymouth, MA, 02360

Available Services

  • Laboratory Draw Station (Outpatient )

Long Pond Lab Drawing Station
110 Long Pond Road
Plymouth, MA, 02360

Available Services

  • Laboratory Draw Station (Outpatient )

Obery Street Drawing Station
46 Obery St
Plymouth, MA, 02360

Available Services

  • Laboratory Draw Station (Outpatient )

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 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 2016 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 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
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.