Quality Report


Quality Report

John Dempsey Hospital

DBA: UConn John Dempsey Hospital
HCO ID: 5667
263 Farmington Avenue
Farmington, CT, 06030-3802
(860) 679-2000
www.uchc.edu
Summary of Quality Information

Accreditation Programs

Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
2/11/2022
Last Full Survey Date
2/10/2022
Last On-Site Survey Date
2/10/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/12/2022
Last Full Survey Date
2/11/2022
Last On-Site Survey Date
4/7/2022

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
2/2/2024
Last Full Survey Date
2/1/2024
Last On-Site Survey Date
2/1/2024

Sites

John Dempsey Hospital
DBA: Nayden Rehabilitation Clinic
6 Alethia Drive
Storrs Mansfield, CT, 06269

Available Services

  • Outpatient Clinics (Outpatient )

John Dempsey Hospital
DBA: The Adult Outpatient Psychiatric Services Clinic
10 Talcott Notch Road
Farmington, CT, 06030

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Developmental Disabilities - Programs / Services (Non 24 Hour Care - Adult )
  • Family Support (Non 24 Hour Care )
  • Outpatient Crisis Stabilization
  • Peer Support (Non 24 Hour Care )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

John Dempsey Hospital
DBA: Pat and Jim Calhoun Cardiology Center
11 South Road, Suite 230
Farmington, CT, 06030

Available Services

  • Outpatient Clinics (Outpatient )

John Dempsey Hospital
DBA: UConn Health Urgent Care
117 Albany Turnpike
Canton, CT, 06019

Available Services

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

Other Clinics/Practices Located at This Site:

  • Dermatology

John Dempsey Hospital
DBA: UConn John Dempsey Hospital
263 Farmington Avenue
Farmington, CT, 06030

Available Services

  • Allergen Extract (Inpatient )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Family Support (Non 24 Hour Care )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • 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 )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Outpatient Crisis Stabilization
  • Peer Support (Non 24 Hour Care )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic 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 )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • Calhoun Cardiology
  • Dermatology Psoriasis Center
  • Diabetic Education
  • Endocrinology Clinic
  • Infectious Disease Clinic
  • Nephrology
  • Neurodiagnostic Services
  • Osteoporosis Center
  • Pulmonary Department
  • Sleep Study
  • The Carole and Ray Neag Comprehensive Cancer Center

John Dempsey Hospital
DBA: UConn Health Urgent Care
One Royce Circle
Storrs Mansfield, CT, 06268

Available Services

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

Other Clinics/Practices Located at This Site:

  • Storrs Cardiology

John Dempsey Hospital Dermatology Associates
DBA: UConn John Dempsey Hospital Department of Dermatology
21 South Road, Second Floor
Farmington, CT, 06030

Available Services

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

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 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
Hospital-Based Inpatient Psychiatric Services 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

* State results are not calculated for the National Patient Safety Goals.