Quality Report


Quality Report

Griffin Hospital
HCO ID: 5665
130 Division Street
Derby, CT, 06418
(203) 732-7500
www.griffinhealth.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
9/21/2022
Last Full Survey Date
9/20/2022
Last On-Site Survey Date
9/20/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
10/13/2022
Last Full Survey Date
10/12/2022
Last On-Site Survey Date
10/12/2022

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
9/28/2022
Last Full Survey Date
9/27/2022
Last On-Site Survey Date
9/27/2022

Core Certification Programs

Gold Seal
Certification Decision
Effective Date
11/1/2023
Last Full Survey Date
10/31/2023
Last On-Site Survey Date
10/31/2023
Gold Seal
Certification Decision
Effective Date
11/1/2023
Last Full Survey Date
10/31/2023
Last On-Site Survey Date
10/31/2023

Sites

Cancer Center
350 Seymour Avenue
Derby, CT, 06418-1336

Available Services

  • Administration of Blood Product (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Cardiac Rehabilitation
  • Infusion Center
  • Outpatient Rehabilitation Services
  • Radiation Oncology

Griffin Hospital
130 Division Street
Derby, CT, 06418

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • 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 )
  • Gynecology (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Outpatient )
  • 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 )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Otolaryngology (Outpatient - Child/Youth )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • Comprehensive Wound Healing Center & Hyperbaric Medicine
  • Digestive Disorders Center
  • Same Day Surgery
  • The Sleep Wellness Center

Griffin Hospital Imaging and Diagnostic Center at Ivy Brook
2 Ivy Brook Road Suite 130
Shelton, CT, 06484-6416

Available Services

  • Outpatient Clinics (Outpatient )

Griffin Imaging and Diagnostic Center
110 Commerce Drive
Shelton, CT, 06484-6244

Available Services

  • Outpatient Clinics (Outpatient )

Griffin Imaging and Diagnostic Center at Masonicare
22 Masonic Ave.
Wallingford, CT, 06492

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Griffin Hospital Blood Draw Services at Masonicare
  • Griffin Hospital Occupational Medicine at Masonicare

Griffin Imaging and Diagnostic Center at Quarry Walk
220-1B Main street
Oxford, CT, 06478-1065

Available Services

  • Outpatient Clinics (Outpatient )

Hewitt Center for Breast Wellness
350 Seymour Avenue, Suite 102
Derby, CT, 06418-1366

Available Services

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

Other Clinics/Practices Located at This Site:

  • Positron Emission Tomography (PET)
  • Radiology Bone Density

Occupational Medicine Center
10 Progress Drive
Shelton, CT, 06484-6216

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Outpatient Rehabilitation Services
  • Radiology Services

Outpatient Psychiatric Services
241, 248, 250 Seymour Avenue
Derby, CT, 06418-1332

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )

Other Clinics/Practices Located at This Site:

  • 10 Progress Drive Shelton, CT 06484
  • 2313 Whitney Avenue Hamden, Ct 06518

Rehabilitation Services at the Griffin Center for Healthy Living
220-2A Main Street
Oxford, CT, 06478

Available Services

  • Outpatient Clinics (Outpatient )

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