Quality Report


Quality Report

Cayuga Medical Center at Ithaca

DBA: Cayuga Medical Center at Ithaca
HCO ID: 5783
101 Dates Drive
Ithaca, NY, 14850
(607) 274-4011
www.cayugamed.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
11/10/2022
Last Full Survey Date
11/9/2022
Last On-Site Survey Date
11/9/2022
Gold Seal
Laboratory
Accreditation Decision
Effective Date
6/30/2023
Last Full Survey Date
6/29/2023
Last On-Site Survey Date
6/29/2023

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
9/20/2022
Last Full Survey Date
7/22/2022
Last On-Site Survey Date
7/22/2022

Sites

Cayuga Endoscopy Center
2435 N. Triphammer Rd
Ithaca, NY, 14850

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Cayuga Medical Center
101 Dates Dr.
Ithaca, NY, 14850

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Cardiac Catheterization Lab (Surgical Services )
  • Coronary Care Unit (Inpatient )
  • 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 )
  • Hazardous Medication Compounding (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 )
  • Orthopedic Surgery (Surgical Services )
  • 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 )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Certification Programs

  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • Cayuga Cancer Center
  • Cayuga Center for Wound Healing
  • Cayuga Heart Institute
  • Cayuga Hematology and Oncology Associates
  • Pain Clinic
  • Sleep Center

Cayuga Medical Center East Campus
10 Arrowwood Drive
Ithaca, NY, 14850

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Cayuga Hematology Oncology Associates
  • imaging
  • Pain Clinic

Cayuga Medical Center Imaging Services
16 Brentwood Drive Suite B
Ithaca, NY, 14850

Available Services

  • Single Specialty Practitioner (Outpatient )

Cayuga Medical Center Oncology
1081 Commons Ave
Cortland, NY, 13045

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Cayuga Medical Center Patient Service Center
1020 Craft Rd
Ithaca, NY, 14850

Available Services

  • Laboratory Draw Station (Outpatient )

Cayuga Medical Center Patient Service Center
5 Evergreen St
Dryden, NY, 13053

Available Services

  • Laboratory Draw Station (Outpatient )

Cayuga Medical Center Patient Service Center
1113 State Route 13
Cortland, NY, 13045

Available Services

  • Laboratory Draw Station (Outpatient )

Cayuga Medical Center Physical Therapy
DBA: Cayuga Medical Center
10 N Main St
Cortland, NY, 13045

Available Services

  • Outpatient Clinics (Outpatient )

Cayuga Medical Center Physical Therapy at Brentwood
10 Brentwood Drive, Suite A
Ithaca, NY, 14850

Available Services

  • Single Specialty Practitioner (Outpatient )

Cayuga Medical Center-Cortland Convenient Care Center
1129 Commons Avenue
Cortland, NY, 13045

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Cayuga Medical Center Physical Therapy
  • Pain Clinic

Cayuga Wellness Center
Cayuga Wellness Cntr, 310 Taughannock Blvd
Ithaca, NY, 14850

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Cayuga Center for Healthy Living
  • Cayuga Medical Center Physical Therapy
  • Imaging
  • Sports Medicine and Athletic Performance

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
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.