Quality Report


Quality Report

Our Lady of Lourdes Memorial Hospital, Inc.

DBA: Our Lady of Lourdes Memorial Hospital, Inc.
HCO ID: 5718
169 Riverside Drive
Binghamton, NY, 13905
(607) 798-5334
www.ascension.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Home Care
Accreditation Decision
Effective Date
9/23/2022
Last Full Survey Date
9/22/2022
Last On-Site Survey Date
9/22/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
9/24/2022
Last Full Survey Date
9/23/2022
Last On-Site Survey Date
11/18/2022
Gold Seal
Laboratory
Accreditation Decision
Effective Date
2/18/2023
Last Full Survey Date
2/17/2023
Last On-Site Survey Date
2/17/2023

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
2/13/2024
Last Full Survey Date
2/12/2024
Last On-Site Survey Date
2/12/2024

Sites

Endwell Physical Therapy
519 Hooper Road
Endwell, NY, 13760

Available Services

  • Outpatient Clinics (Outpatient )

Hancock Primary Care
39 E. Main Street
Hancock, NY, 13783

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Hospice At Lourdes
DBA: The Hospice at Lourdes
4102 Old Vestal Road
Vestal, NY, 13850

Available Services

  • General Laboratory Tests
  • Hospice Care

Lourdes at Home
4102 Old Vestal Road
Vestal, NY, 13850

Available Services

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

Lourdes at Vestal
3101 Shippers Road
Vestal, NY, 13850

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Dermatology
  • Family Practice
  • Internal Medicine
  • Walk-In Clinic
  • Women's Health Center

Lourdes Center for Family Health
303 Main Street
Binghamton, NY, 13905

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • DeMarillac Maternity Clinic
  • DePaul Pediatrics
  • Podiatry Clinic

Lourdes Center for Oral Health
219 Front Street
Binghamton, NY, 13905

Available Services

  • Outpatient Clinics (Outpatient )

Lourdes Center for Pain and Wellness
20 - 24 South Washington Street
Binghamton, NY, 13903

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Lourdes Family Care Whitney Point
2660 Main Street
Whitney Point, NY, 13862

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Lourdes Family Health
17 Chenango Bridge Road
Binghamton, NY, 13901

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Walk-In Clinic

Lourdes Family Practice Owego
500 Fifth Avenue
Owego, NY, 13827

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Lourdes Family Practice Owego Walk-In

Lourdes Geriatrics
4102 Old Vestal Road
Vestal, NY, 13850

Available Services

  • Outpatient Clinics (Outpatient )

Lourdes Medical Group at New Berlin
DBA: Clinic/Practice Site
12 School St New Berlin
New Berlin, NY, 13411

Available Services

  • Outpatient Clinics (Outpatient )

Lourdes Orthopedics
240 Riverside Drive
Johnson City, NY, 13790

Available Services

  • Outpatient Clinics (Outpatient )

Lourdes Orthopedics - Southside
65 Pennsylvania Avenue
Binghamton, NY, 13903

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Lourdes Rehabilitation - Southside
  • Plastic & Microsurgery

Lourdes Primary Care Associates Endicott
415 E. Main St.
Endicott, NY, 13760

Available Services

  • General Laboratory Tests

Other Clinics/Practices Located at This Site:

  • Lourdes Primary Care Associates Endicot Walk In

Lourdes Primary Care Associates Robinson Street
276-280 Robinson Street
Binghamton, NY, 13904

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Lourdes Primary Care Robinson St. Walk In

Lourdes Sleep Lab
116 North Jensen Road
Vestal, NY, 13850

Available Services

  • Outpatient Clinics (Outpatient )

Northern Tioga Center for Family Health Richford
13293 Route 38
Richford, NY, 13835

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Our Lady of Lourdes Memorial Hospital, Inc.
DBA: Lourdes Center for Mental Health
184 Court Street
Binghamton, NY, 13905

Available Services

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

Our Lady of Lourdes Memorial Hospital, Inc.
169 Riverside Drive
Binghamton, NY, 13905

Available Services

  • Brachytherapy (Imaging/Diagnostic 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 )
  • General Laboratory Tests
  • 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 )
  • 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 )
  • 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 )
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • Endocrinology Suite 206
  • Lourdes Ambulatory Infusion Center
  • Lourdes Audiology Suite M10
  • Lourdes Breast Care Center
  • Lourdes Cardiology DePaul Pavilion
  • Lourdes Cardiology Suite M07
  • Lourdes Diabetes Center
  • Lourdes ENT Suite 205
  • Lourdes Gastroenterology
  • Lourdes Hyperbaric Oxygen Therapy (HBOT)
  • Lourdes Palliative Medicine
  • Lourdes Pediatrics Suite 305
  • Lourdes Plastic Surgery Suite 106
  • Lourdes Podiatry Suite M08
  • Lourdes Pulmonary Suite M09
  • Lourdes Radiation Oncology
  • Lourdes Urology
  • Lourdes Vascular Surgery
  • Lourdes Wound Care Center
  • Pediatrics Suite 206
  • Pulmonary Suite 305
  • Riverside Medical suite 306
  • Riverside Surgery ACC Building

Pediatrics - Vestal
105 Ridgehaven Drive
Vestal, NY, 13850

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Cardiometabolic Health

Organization Commentary

Ms. Kathryn Connerton, President and CEO

Under other Accredited Programs/Services, Lourdes is accredited by the following: Lourdes Laboratory - by the College of American Pathologists (CAP) Comprehensive Cancer Program of Lourdes Hospital - by the American College of Surgeons, Commission on Cancer Lourdes Vascular Lab - by the Intersocietal Commission for the accreditation of Vascular Labs (ICAVL) Lourdes Sleep Lab - by the American Academy of Sleep Medicine

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 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
Home Care 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Laboratory 2023 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.