Quality Report


Quality Report

Long Island Jewish Medical Center
HCO ID: 5806
270-05 76th Avenue
New Hyde Park, NY, 11040
(718) 470-7000
www.northwell.edu
Summary of Quality Information

Accreditation Programs

Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
4/26/2023
Last Full Survey Date
4/25/2023
Last On-Site Survey Date
4/25/2023
Gold Seal
Hospital
Accreditation Decision
Effective Date
4/29/2023
Last Full Survey Date
4/28/2023
Last On-Site Survey Date
6/9/2023

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
8/26/2023
Last Full Survey Date
8/25/2023
Last On-Site Survey Date
8/25/2023
Gold Seal
Certification Decision
Effective Date
2/15/2023
Last Full Survey Date
2/14/2023
Last On-Site Survey Date
2/14/2023
Gold Seal
Certification Decision
Effective Date
4/9/2022
Last Full Survey Date
4/8/2022
Last On-Site Survey Date
4/8/2022
Gold Seal
Certification Decision
Effective Date
12/1/2023
Last Full Survey Date
11/30/2023
Last On-Site Survey Date
11/30/2023
Gold Seal
Certification Decision
Effective Date
2/8/2023
Last Full Survey Date
12/1/2022
Last On-Site Survey Date
12/1/2022

Core Certification Programs

Gold Seal
Certification Decision
Effective Date
3/22/2022
Last Full Survey Date
3/7/2024
Last On-Site Survey Date
3/7/2024
Gold Seal
Certification Decision
Effective Date
3/21/2022
Last Full Survey Date
3/5/2024
Last On-Site Survey Date
3/5/2024

Sites

Acces -VR

Hollis, NY, 11423

Available Services

  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Addiction Recovery Services

Glen Oaks, NY, 11004

Available Services

  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )

August Martin High School Based Health Center
156-10 Baisley Blvd
Jamaica, NY, 11434

Available Services

  • Outpatient Clinics (Outpatient )

Backstretch BEST Clinic
DBA: B.E.S.T. Healthcare Center
2150 Hempstead Turnpike
Elmont, NY, 11003

Available Services

  • Outpatient Clinics (Outpatient )

Brian Piccolo/Intermediate School clinic
10-45 Nameoke Street
Far Rockaway, NY, 11691

Available Services

  • Outpatient Clinics (Outpatient )

Cancer Institute Imbert Cancer Center
DBA: Imbert Cancer Center suit B
440 East Main Street, suite B
Bay Shore, NY, 11706

Available Services

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

Cancer Institute- Imbert Cancer Center
DBA: Northwell Health Imaging at Bay Shore
440 East Main Street
Bay Shore, NY, 11706

Available Services

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

Cancer Institute-Imbert Cancer Center
DBA: Radiation Medicine
440 East Main Street
Bay Shore, NY, 11706

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Radiation Medicine, Medical Oncology

Center for Advanced Medicine - Ambulatory Surgery
DBA: CFAM
450 Lakeville Rd.
New Hyde Park, NY, 11042

Available Services

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

Cohen Children's Medical Center
DBA: Cohen Children's Medical Center
269-01 76th Avenue
New Hyde Park, NY, 11040

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • 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 )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Transplant Surgery (Surgical Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Cohen Children's Medical Center of NY/General Pediatrics
DBA: Pediatric & Adolescent Clinic
410 Lakeville Road
New Hyde Park, NY, 11040

Available Services

  • Outpatient Clinics (Outpatient )

Far Rockaway HS Clinic
821 Bay 25th Streeet
Far Rockaway, NY, 11691

Available Services

  • Outpatient Clinics (Outpatient )

Far Rockaway Treatment Center

Far Rockaway, NY, 11691

Available Services

  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )

Franklin K. Lane School Based Health Center
999 Jamaica Avenue
Brooklyn, NY, 11208

Available Services

  • Outpatient Clinics (Outpatient )

Garden City Treatment Center
711 Stewart Ave, Suite 140
Garden City, NY, 11530

Available Services

  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Non-detox - Adult )

John Adams High School - School Based Health Center
101-01 Rockaway Blvd
Jamaica, NY, 11417

Available Services

  • Outpatient Clinics (Outpatient )

LIJ Center for Advanced Medicine
DBA: RJ Zuckerberg Cancer Center
450 Lakeville Road
New Hyde Park, NY, 11040

Available Services

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

Other Clinics/Practices Located at This Site:

  • Monter Cancer Center, Ambulatory Surgery Center

LIJ Medical Center Primary Care Extension Clinic
256-11 Union Turnpike
Glen Oaks, NY, 11004

Available Services

  • Outpatient Clinics (Outpatient )

LIJMC Satellite Dialysis Facility
220-22 Hillside Ave
Queens Village, NY, 11427

Available Services

  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

Long Island Jewish Center For Advanced Medicine
DBA: CFAM Radiation Medicine
450 Lakeville Rd.
New Hyde Park, NY, 11040

Available Services

  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )

Long Island Jewish Forest Hills
102-01 66th Road
Forest Hills, NY, 11375

Available Services

  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • 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 )
  • 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 )
  • Orthopedic/Spine Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Total Hip and Total Knee Replacement
  • Hip Fracture
  • Primary Stroke Center

Long Island Jewish Medical Center
270-05 76th Ave
New Hyde Park, NY, 11040

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • 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 )
  • 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 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 )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Certification Spine Surgery
  • Advanced Palliative Care
  • Advanced Total Hip and Total Knee Replacement
  • Inpatient Diabetes
  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • Dental Clinic, Maternal Fetal Medicine, Ambulatory Care Unit

Long Island Jewish Medical Center
DBA: LIJ Department of Dental Medicine
270-05 76th Ave
New Hyde Park, NY, 11040

Available Services

  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )

Long Island Jewish Medical Center
DBA: Northwell Health Otolaryngology & Communicative Disorders
430 Lakeville Road
New Hyde Park, NY, 11040

Available Services

  • Outpatient Clinics (Outpatient )

Long Island Jewish Valley Stream
900 Franklin Avenue
Valley Stream, NY, 11580

Available Services

  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Certification Spine Surgery
  • Advanced Total Hip and Total Knee Replacement
  • Hip Fracture
  • Joint Replacement - Shoulder
  • Primary Stroke Center

Manhasset Ambulatory Care Center
DBA: Transitions of Long Island
1554 Northern Boulevard, 3rd floor
Manhasset, NY, 11030

Available Services

  • Outpatient Clinics (Outpatient )

Manhasset Ambulatory Care Center
DBA: Sports Therapy and Rehab Services (STARS)
1554 Northern Boulevard
Manhasset, NY, 11030

Available Services

  • Outpatient Clinics (Outpatient )

Nassau Day Training Center

West Hempstead, NY, 11552

Available Services

  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Northwell Ambulatory Care Center
95-25 Queens Boulevard
Rego Park, NY, 11374

Available Services

  • Outpatient Clinics (Outpatient )

Northwell Health Cancer Center
270 Pulaski Road
Greenlawn, NY, 11740

Available Services

  • Administration of High Risk Medications (Outpatient )
  • High Risk Sterile Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Northwell Health Cancer Institute at Rego Park a program of LIJMC
DBA: Northwell Health cancer Institute at Rego Park
95-25 Queens Blvd suite 601
Rego Park, NY, 11374

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Hazardous Medication Compounding (Outpatient )
  • High Risk Sterile Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )

Personalized Recovery Oriented Services

Hollis, NY, 11423

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Community Integration (Non 24 Hour Care )

Project Outreach

West Hempstead, NY, 11552

Available Services

  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )

Zucker Hillside Hospital

Glen Oaks, NY, 11004

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Non-detox - Adult )

Organization Commentary

Mr. Michael Dowling, President

Mr. Michael Dowling, President Long Island Jewish Medical Center is one of the clinical and academic hubs of Northwell Health. We are a 1,624 bed, non-profit, tertiary care teaching hospital serving the greater NY Metropolitan area. LIJ Medical Center serves as a clinical campus for the Hofstra Northwell Health School of Medicine, which is owned by Northwell Health in a partnership with Hofstra University. Our graduate medical education program is one of the largest in New York State with 45 Accreditation Council of Graduate Medical Education approved specialty programs. The full-time faculty includes more than 500 physicians and dentists who supervise care in all major specialties and participate in the medical center’s extensive teaching and research programs. LIJ Medical Center is comprised of five divisions: Long Island Jewish, Cohen Children’s Medical Center, Long Island Jewish Forest Hills, Long Island Jewish Valley Stream and Zucker Hillside Hospital. Long Island Jewish (LIJ) is a 583 bed voluntary adult care hospital with advanced diagnostic and treatment technology, and full facilities for medical, surgical dental and obstetrical care. It features the Institute of Oncology, as well as a high-risk pregnancy program. LIJ offers world-class cardiology, cardiac surgery, thoracic surgery, orthopaedics, head and neck oncology, urology, gynecology and vascular programs. LIJ was the first health care facility in New York State to receive the Magnet Award; the nursing profession’s top honor for excellence in Nursing Services, awarded by the American Nurses Credentialing Center; the nation’s leading nursing credentialing organization. The honor was bestowed again in 2015. Other distinctions include: American Institute of Minimally Invasive Surgery Academic Center of Excellence for Minimally Invasive Surgery in Gynecologic Oncology and Gynecology; Commission on Cancer Accreditation:, U.S. News & World Report Best Hospitals 2014-2015; and Leader in LGBT Healthcare Equality, Human Rights Campaign (2016). Cohen Children's Medical Center is one of the nation's finest children's hospitals providing state-of-the-art care for children's medical, surgical and dental needs. Our nationally and internationally recognized programs include Cardiology, Cardiothoracic Surgery, Minimally Invasive Surgery, Stem Cell (Bone Marrow) Transplantation. For the 10th consecutive year in 2016, Cohen’s was ranked among the best children’s hospitals in the nation in U.S. News & World Report's 2016-17 “America’s Best Children’s Hospitals” survey. Also in 2016, Cohen Children’s Medical achieved Magnet status from the American Nurses’ Credentialing Center (ANCC), becoming the only children’s hospital in New York State to earn this prestigious designation. Other distinction includes: Healthcare Association of New York State's (HANYS)2016 Pinnacle Awards for quality and patient safety. Zucker Hillside Hospital is a 222 bed, nationally recognized behavioral health center known for its pioneering work in diagnosis, treatment and research of mental illness. The inpatient service treats the full gamut of psychiatric disorders with distinct units serving adults, adolescents and the elderly. Zucker Hillside also provides a full continuum of outpatient services including general ambulatory services for all age groups as well as Partial Hospital, Continuing Day Treatment, Substance Abuse and Psychiatric Rehabilitation programs. The National Institute of Health has established a Clinical Research Center for the Study of Schizophrenia at Zucker Hillside Hospital, one of only four such facilities nationwide. Treatment specialties include early phase treatment, depression, schizophrenia, bipolar and personality disorders, as well as a discreet women’s unit. Long Island Jewish Valley Stream is a 305-bed community hospital offering a comprehensive array of programs and services to patients from Nassau and Southeastern Queens Counties. Inpatient services include general adult and geriatric care, a coronary care and intensive care unit, a telemetry unit, a surgical step down unit, a psychiatry unit, and a hospice unit. Other distinctions include: American Heart Association/American Stroke Association Gold Stroke Quality Achievement Award; American College of Radiology Diagnostic Imaging Center of Excellence™; and Commission on Cancer Accreditation. Long Island Jewish Forest Hills is a 312-bed community teaching hospital located in an ethnically diverse residential neighborhood in Northern Queens, providing inpatient medical and surgical care, intensive care, obstetrics and gynecology. The hospital is designated as a Level II Perinatal Center. The Emergency Department is a 911 receiving site, a certified heart station, as well as a NYS designated Stroke Center. Distinctions include AHA/ASA Gold Plus Stroke Award; Bariatric Surgery Center of Excellence; NCQA Diabetes Care; Commission on Cancer Accreditation.

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 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 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.