Quality Report


Quality Report

Middlesex Hospital

DBA: General Acute Care Hospital
HCO ID: 5673
28 Crescent Street
Middletown, CT, 06457
(860) 358-6000
www.midhosp.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
2/12/2020
Last Full Survey Date
2/11/2020
Last On-Site Survey Date
2/11/2020
Gold Seal
Home Care
Accreditation Decision
Effective Date
2/15/2020
Last Full Survey Date
2/14/2020
Last On-Site Survey Date
2/14/2020
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/15/2020
Last Full Survey Date
2/14/2020
Last On-Site Survey Date
10/30/2020

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
10/28/2020
Last Full Survey Date
10/27/2020
Last On-Site Survey Date
10/27/2020

Core Certification Programs

Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
10/17/2020
Last Full Survey Date
10/16/2020
Last On-Site Survey Date
10/16/2020
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
10/17/2020
Last Full Survey Date
10/16/2020
Last On-Site Survey Date
10/16/2020

Sites

Middlesex Hospital
DBA: Middlesex Health Shoreline Medical Center
250 Flat Rock Place
Westbrook, CT, 06498

Available Services

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

Other Clinics/Practices Located at This Site:

  • Emergency Department
  • Outpatient Cancer Center
  • Outpatient Laboratory Services, Outpatient Radiology Service

Middlesex Hospital
DBA: Middlesex Health Family Practice Group
90 South Main Street
Middletown, CT, 06457

Available Services

  • Outpatient Clinics (Outpatient )

Middlesex Hospital
DBA: Middlesex Health Physical Rehabilitation
1687 Boston Post Road
Old Saybrook, CT, 06475

Available Services

  • Outpatient Clinics (Outpatient )

Middlesex Hospital
DBA: Middlesex Health Center For Behavioral Health
33 Pleasant Street
Middletown, CT, 06457

Available Services

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

Middlesex Hospital
DBA: Middlesex Health Physical Rehabilitation
512 Saybrook Road, Lower Level
Middletown, CT, 06457

Available Services

  • Outpatient Clinics (Outpatient )

Middlesex Hospital
DBA: Middlesex Health Multispecialty Group Endocrinology
540 Saybrook Road, Suite 210
Middletown, CT, 06457

Available Services

  • Outpatient Clinics (Outpatient )

Middlesex Hospital
DBA: Middlesex Health Homecare Hospice Program
21 Pleasant Street
Middletown, CT, 06457

Available Services

  • Hospice Care

Middlesex Hospital
DBA: Middlesex Health Family Practice Group
13 High Street
Portland, CT, 06480

Available Services

  • Outpatient Clinics (Outpatient )

Middlesex Hospital
DBA: Middlesex Health Center For Behavioral Health
90 South Main Street Middletown, Ct.
Middletown, CT, 06457

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )

Middlesex Hospital
DBA: Middlesex Health Physical Rehabilitation
252 Westbrook Road
Essex, CT, 06426

Available Services

  • Outpatient Clinics (Outpatient )

Middlesex Hospital
DBA: Middlesex Health Family Practice Group
42 East High Street, Suite 205
East Hampton, CT, 06424

Available Services

  • Outpatient Clinics (Outpatient )

Middlesex Hospital
DBA: Middlesex Health Care at Home
770 Saybrook Road
Middletown, CT, 06457

Available Services

  • Home Health Aides
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Occupational Therapy
  • Physical Therapy
  • Skilled Nursing Services
  • Speech Language Pathology

Middlesex Hospital
DBA: Middlesex Health Physical Rehabilitation
1347 Boston Post Road, Madison
Madison, CT, 06443

Available Services

  • Outpatient Clinics (Outpatient )

Middlesex Hospital
DBA: Middlesex Health Outpatient Surgical Center
530 Saybrook Road
Middletown, CT, 06457

Available Services

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

Middlesex Hospital
DBA: Middlesex Hospital
28 Crescent Street
Middletown, CT, 06457

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • 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 )
  • 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 )
  • 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 )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • 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
  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • Outpatient Laboratory Services, Outpatient Radiology Service
  • Outpatient Physical Therapy

Middlesex Hospital
DBA: Middlesex Health Multispecialty group
80 South Main Street
Middletown, CT, 06457

Available Services

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

Other Clinics/Practices Located at This Site:

  • Pulmonary, Rheumatology, Neurology, Sleep, Inf Disease

Middlesex Hospital
DBA: Middlesex Health Care at Home
1250 Boston Post Road, Old Saybrook
Old Saybrook, CT, 06475

Available Services

  • Home Health Aides
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Occupational Therapy
  • Physical Therapy
  • Skilled Nursing Services
  • Speech Language Pathology

Middlesex Hospital
DBA: Middlesex Health Marlborough Medical Center
12 Jones Hollow Road
Marlborough, CT, 06447

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Hazardous Medication Compounding (Outpatient )

Other Clinics/Practices Located at This Site:

  • Emergency Department
  • Outpatient Laboratory Services, Outpatient Radiology Service

Middlesex Hospital
DBA: Middlesex Health Center For Behavioral Health
154 Main Street, Old Saybrook
Old Saybrook, CT, 06475

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )

Middlesex Hospital
DBA: Middlesex Health Center For Behavioral Health
103 South Main Street
Middletown, CT, 06457

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )

Middlesex Hospital
DBA: Middlesex Health Outpatient and Cancer Center
534 Saybrook Road
Middletown, CT, 06457

Available Services

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

Other Clinics/Practices Located at This Site:

  • Outpatient Laboratory Services, Outpatient Radiology Service
  • Outpatient Physical Therapy, Outpatient Radiation Therapy

Middlesex Hospital
DBA: Middlesex Health Family Advocacy Program
51 Broad Street
Middletown, CT, 06457

Available Services

  • Behavioral Health (Non 24 Hour Care - Child/Youth )

Middlesex Hospital
DBA: Middlesex Health Physical Rehabilitation
13 High Street
Portland, CT, 06480

Available Services

  • Outpatient Clinics (Outpatient )

Middlesex Hospital
DBA: Middlesex Health Physical Rehabilitation
6 Independence Drive Suite 1
Marlborough, CT, 06447

Available Services

  • Outpatient Clinics (Outpatient )

Middlesex Hospital
DBA: Middlesex Health Wound Care Center
520 Saybrook Road suite 201
Middletown, CT, 06457

Available Services

  • Outpatient Clinics (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
  • 2014 Magnet Award

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 2020 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2020 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2020 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.