Quality Report


Quality Report

Mount Sinai Hospital
HCO ID: 5829
One Gustave L. Levy Place
New York, NY, 10029-6574
(212) 241-8108
www.mountsinai.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
2/23/2024
Last Full Survey Date
7/16/2021
Last On-Site Survey Date
2/22/2024

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
3/31/2022
Last Full Survey Date
3/30/2022
Last On-Site Survey Date
3/30/2022
Gold Seal
Certification Decision
Effective Date
4/29/2022
Last Full Survey Date
4/28/2022
Last On-Site Survey Date
4/28/2022
Gold Seal
Certification Decision
Effective Date
10/13/2022
Last Full Survey Date
7/20/2022
Last On-Site Survey Date
7/20/2022
Gold Seal
Certification Decision
Effective Date
4/20/2023
Last Full Survey Date
4/19/2023
Last On-Site Survey Date
4/19/2023
Gold Seal
Certification Decision
Effective Date
7/27/2023
Last Full Survey Date
7/26/2023
Last On-Site Survey Date
7/26/2023
Gold Seal
Certification Decision
Effective Date
3/23/2022
Last Full Survey Date
3/22/2022
Last On-Site Survey Date
3/22/2022

Sites

Bayard Rustin Education Complex
West 18th Street
New York, NY, 10024

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Center for Advanced Medicine
17 East 102nd Street
New York, NY, 10029

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Child and Adolescent Family Services (CAFS)
1240 Park Ave
New York, NY, 10128

Available Services

  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Certified Community Behavioral Health Clinics (CCBHC)
  • Outpatient Clinics (Outpatient )

IS 45 Educational Campus
2351 First Ave at 120 Street
New York, NY, 10035

Available Services

  • Outpatient Clinics (Outpatient )

J.H.S. 117/T.A.G.
240 East 109th Street Room 107
New York, NY, 10029

Available Services

  • Outpatient Clinics (Outpatient )

Julia Richmond H.S.
317 East 68th Street
New York, NY, 10008

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Leon and Norma Hess Center for Science and Medicine
1470 Madison Avenue
New York, NY, 10029

Available Services

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

Louis Brandeis High School
145 West 84th Street, Room 115
New York, NY, 10024

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Manhattan Center for Math and Science
FDR Dr. & E 116th Street
New York, NY, 10029

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Martin Luther King Jr. High School
122 Amsterdam Avenue, Room 203
New York, NY, 10023

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Mount Sinai Adolescent Health Center
320 East 94th Street
New York, NY, 10128

Available Services

  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Certified Community Behavioral Health Clinics (CCBHC)
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Mount Sinai Comprehensive Health- Downtown
275 7th Avenue
New York, NY, 10001

Available Services

  • Outpatient Clinics (Outpatient )

Mount Sinai Doctors Jackson Heights
37-12 82nd Street
Jackson Heights, NY, 11372

Available Services

  • Outpatient Clinics (Outpatient )

Mount Sinai Hospital of Queens
25-10 30th Avenue
Long Island City, NY, 11102-2495

Available 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 )
  • Gynecological Surgery (Surgical Services )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (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

  • Thrombectomy-Capable Stroke Center

Mount Sinai Hospital of Queens - Family Health Center
31-60 21 St
Long Island City, NY, 11106

Available Services

  • Outpatient Clinics (Outpatient )

Mount Sinai Kidney Center
520 East 117th Street 4th Floor
New York, NY, 10035

Available Services

  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

Mount Sinai Mobile Mammography Van
DBA: Mount Sinai Mobile Mammography Van
1470 Madison Ave
New York, NY, 10029

Available Services

  • Outpatient Clinics (Outpatient )

Mount Sinai Tisch Cancer Center
1441 South Ave, Suite 207
Staten Island, NY, 10314

Available Services

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

P.S. 108
1615 Madison Avenue
New York, NY, 10029

Available Services

  • Outpatient Clinics (Outpatient )

P.S. 83 & BBMS
219 East 109 Street
New York, NY, 10029

Available Services

  • Outpatient Clinics (Outpatient )

P.S.38
232 East 103rd Street
New York, NY, 10029

Available Services

  • Outpatient Clinics (Outpatient )

Philip Randolph High School
443 West 135th Street, Room 617
New York, NY, 10031

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Psychiatric Out Patient- Extension Clinic
1160 Fifth Avenue
New York, NY, 10029

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Certified Community Behavioral Health Clinics (CCBHC)

The Mount Sinai Hospital
1468 Madison Ave
New York, NY, 10029-6574

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Brachytherapy (Imaging/Diagnostic 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 )
  • 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 )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Long Term Acute Care Unit (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neuro/Spine ICU (Intensive Care Unit )
  • Neuro/Spine Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • 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 )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Sleep Laboratory (Sleep Laboratory )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Transplant Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Comprehensive Stroke Center
  • Advanced Palliative Care
  • Advanced Total Hip and Total Knee Replacement
  • Comprehensive Cardiac Center
  • Ventricular Assist Device

Other Clinics/Practices Located at This Site:

  • 1240 Park Avenue - Child Psychiatry Clinic

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 2024 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.