Quality Report


Quality Report

F. F. Thompson Hospital

DBA: F. F. Thompson Hospital
HCO ID: 5746
350 Parrish Street
Canandaigua, NY, 14424
(585) 396-6000
www.thompsonhealth.com
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/12/2022
Last Full Survey Date
2/11/2022
Last On-Site Survey Date
2/11/2022
Gold Seal
Laboratory
Accreditation Decision
Effective Date
6/23/2023
Last Full Survey Date
6/22/2023
Last On-Site Survey Date
6/22/2023

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Certification in Perinatal Care
Certification Decision
Effective Date
5/4/2023
Last Full Survey Date
5/3/2023
Last On-Site Survey Date
5/3/2023
Gold Seal
Chronic Obstructive Pulmonary Disease
Certification Decision
Effective Date
10/5/2023
Last Full Survey Date
10/4/2023
Last On-Site Survey Date
10/4/2023
Gold Seal
Perinatal Care Certification
Certification Decision
Effective Date
6/10/2021
Last Full Survey Date
6/9/2021
Last On-Site Survey Date
6/9/2021
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
5/5/2022
Last Full Survey Date
4/1/2022
Last On-Site Survey Date
4/1/2022

Core Certification Programs

Gold Seal
Chronic Obstructive Pulmonary Disease
Certification Decision
Effective Date
10/6/2023
Last Full Survey Date
10/5/2023
Last On-Site Survey Date
10/5/2023
Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
8/30/2023
Last Full Survey Date
8/29/2023
Last On-Site Survey Date
8/29/2023
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
8/30/2023
Last Full Survey Date
8/29/2023
Last On-Site Survey Date
8/29/2023

Sites

Alton B. Corbit Immediate Care Center
1160 Corporate Drive
Farmington, NY, 14425

Available Services

  • General Laboratory Tests
  • Urgent Care (Outpatient )

Breast Imaging Center
195 Parrish Street
Canandaigua, NY, 14424

Available Services

  • Outpatient Clinics (Outpatient )

Canandaigua Family Practice
3170 West Street Suite 222
Canandaigua, NY, 14424

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Certification Programs

  • Chronic Obstructive Pulmonary Disease

F. F. Thompson Hospital
350 Parrish Street
Canandaigua, NY, 14424

Available Services

  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • Gynecological Surgery (Surgical Services )
  • 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 )
  • Newborn Nursery
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Teleradiology (Imaging/Diagnostic Services )
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Certification in Perinatal Care
  • Chronic Obstructive Pulmonary Disease
  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Primary Stroke Center

Farmington Medical Group
1614 State Route 332 Suite Q
Farmington, NY, 14425

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Finger Lakes Family Care
23 North St. Suite 5
Canandaigua, NY, 14424

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Honeoye Family Practice
3 Honeoye Commons
Honeoye, NY, 14471

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Lima Family Practice
7325 Community Drive
Lima, NY, 14485

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Certification Programs

  • Chronic Obstructive Pulmonary Disease

Macedon Family Practice
1033 NY-31
Macedon, NY, 14502

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Certification Programs

  • Chronic Obstructive Pulmonary Disease

Mary Clark Thompson Family Practice
351 North Street
Canandaigua, NY, 14424

Midlakes Medical Care
16 East Main Street
Clifton Springs, NY, 14432

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Newark Urgent Care
800 West Miller St
Newark, NY, 14513

Available Services

  • General Laboratory Tests
  • Urgent Care (Outpatient )

Shortsville Family Practice
15 Canandaigua Street
Shortsville, NY, 14548

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Certification Programs

  • Chronic Obstructive Pulmonary Disease

Thompson Health Geneva OB/GYN
765 Geneva Crossing Way
Geneva, NY, 14456

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UR Medicine Thompson Health - Physical Rehabilitation Servic
7670 Omnitech Place
Victor, NY, 14564

Available Services

  • Outpatient Clinics (Outpatient )

UR Medicine Thompson Health Canandaigua Medical Group
1160 Corporate Drive, Suite 800
Farmington, NY, 14425

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

UR Medicine Thompson Health Canandaigua Medical Group
335 Parrish Street
Canandaigua, NY, 14424

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UR Medicine Thompson Health Canandaigua Medical Group
1160 Corporate Drive, Suite 600
Farmington, NY, 14425

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

UR Medicine Thompson Health Rehabilitation Services
699 South Main Sreet, Suite 2A
Canandaigua, NY, 14424

Available Services

  • Outpatient Clinics (Outpatient )

UR Medicine Thompson Health Urgent Care Canandaigua
699 South Main Street
Canandaigua, NY, 14424

Available Services

  • General Laboratory Tests
  • Urgent Care (Outpatient )

Victor Family Practice
53 West Main Street
Victor, NY, 14564

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (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
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.