Quality Report


Quality Report

MedStar Washington Hospital Center

DBA: MedStar Washington Hospital Center
HCO ID: 6308
110 Irving St, NW
Washington, DC, 20010
(202) 877-7000
www.whcenter.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
11/13/2019
Last Full Survey Date
11/12/2019
Last On-Site Survey Date
11/12/2019
Gold Seal
Hospital
Accreditation Decision
Effective Date
11/16/2019
Last Full Survey Date
11/15/2019
Last On-Site Survey Date
12/27/2019

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
1/16/2021
Last Full Survey Date
1/15/2021
Last On-Site Survey Date
1/15/2021
Gold Seal
Certification Decision
Effective Date
12/17/2020
Last Full Survey Date
12/16/2020
Last On-Site Survey Date
12/16/2020

Sites

Advanced Heart Failure/Cardiology Faculty Practice
DBA: Advanced Heart Failure/Cardiology Faculty Practice
110 Irving St., NW, MHVI 1st Floor
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Bariatric Surgery
DBA: Bariatric Surgery
106 Irving St., NW POB 301South
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Burn Clinic
DBA: Burn Clinic
110 Irving St. NW, 3B55
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Center for Breast Health
DBA: Center for Breast Health
106 Irving Street, NW Washington
Washington, DC, 20010

Available Services

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

Center for Vascular Care
DBA: Center for Vascular Care
106 Irving St. NW POB 3600North Washington, DC
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Colorectal Surgery
DBA: Colorectal Surgery
106 Irving Street, NW POB 2100North Washington
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Endocrine Surgery
DBA: Endocrine Surgery
106 Irving St., NW POB 2200North
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Eye Center
DBA: Eye Center
110 Irving St. NW, 1A1
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Family Health Center Resident/Fellow Practice
DBA: Family Health Center Resident/Fellow Practice
110 Irving St. NW, 1A50
Washington, DC, 20010

Available Services

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

Hearing and Speech
DBA: Hearing and Speech
110 Irving St. NW, GA102, Washington, DC
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Infusion Washington Cancer Institute
DBA: Infusion Washington Cancer Institute
106 Irving St. NW
Washington, DC, 20010

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Lung & Esophageal Center
DBA: Lung & Esophageal Center
110 Irving St., NW GA4
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Medical Oncology/Hematology Washington Cancer Institute
DBA: Medical Oncology/Hematology Washington Cancer Institute
110 Irving St. NW. 2nd Floor WCI
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Medicine Subspecialty Practice
DBA: Medicine Subspecialty Practice
110 Irving St. NW, 1A50B
Washington, DC, 20010

Available Services

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

MedStar Dermatology
DBA: MedStar Dermatology-Chevy Chase
5530 Wisconsin Ave, Suite 730,
Chevy Chase, MD, 20815

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

MedStar Dermatology
DBA: MedStar Dermatology-POB
106 Irving St., NW POB 410South
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

MedStar Plastic & Reconstructive Surgery
DBA: MedStar Plastic & Reconstructive Surgery
106 Irving St., NW POB 3400North
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

MedStar Washington Hospital Center
DBA: MedStar Washington Hospital Center
110 Irving St NW
Washington, DC, 20010

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Brachytherapy (Imaging/Diagnostic Services )
  • Burn Unit (Inpatient )
  • 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 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 )
  • Nuclear Pharmacy (Inpatient )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic 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 )
  • Transplant Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Comprehensive Stroke Center
  • Ventricular Assist Device

MWHC Orthopaedic Surgery
DBA: MWHC Orthopaedic Surgery
106 Irving St., NW POB 5000North
Washington, DC, 20010

Available Services

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

MWHC Psychiatry/OP Behaviorial Health Services
DBA: MWHC Psychiatry/OP Behaviorial Health Services
216 Michigan Avenue, NE 2nd floor
Washington, DC, 20017

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Community Integration (Non 24 Hour Care )

National Center for Advanced Pelvic Surgery
DBA: National Center for Advanced Pelvic Surgery
106 Irving St. NW, POB 405South, Washington, DC 20010
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

National Center for Advanced Pelvic Surgery
DBA: National Center for Advanced Pelvic Surgery
5410 Edson Lane , Suite 306, Rockville, MD
Rockville, MD, 20852

Available Services

  • Single Specialty Practitioner (Outpatient )

Oncology Specialty Center Washington Cancer Institute;
DBA: Oncology Specialty Center Washington Cancer Institute;
110 Irving St. NW
Washington, DC, 20010

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Oncology/Radiation Oncology
DBA: Oncology/Radiation Oncology
110 Irving St. NW, ground floor
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Oral and Maxillofacial Surgery
DBA: Oral and Maxillofacial Surgery
110 Irving St. NW, GA 144
Washington, DC, 20010

Available Services

  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Otolaryngology, Head & Neck Surgery
DBA: Otolaryngology, Head & Neck Surgery
106 Irving Street 2700
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Perinatal Center
DBA: Perinatal Center
106 Irving St. NW, POB 108South, Washington, DC
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Perinatal Center
DBA: Perinatal Center
110 Irving St. NW, 5B63 Washington, DC
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Physicians Office Building Radiology
DBA: Physicians Office Building Radiology
106 Irving Street, NW Washington
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Podiatry
DBA: Podiatry
106 Irving St., NW POB 3400North
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Surgical Ambulatory Care Center
DBA: Surgical Ambulatory Care Center
110 Irving St. NW, GA48
Washington, DC, 20010

Available Services

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

Urology
DBA: Urology
106 Irving Street, NW, POB 315South Washington
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Vascular Access Clinic
DBA: Vascular Access Clinic
106 Irving St. NW, POB 419South, Washington, DC
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Vascular Lab
DBA: Vascular Lab
106 Irving St. NW, POB 3150North, Washington, DC
Washington, DC, 20010

Available Services

  • Single Specialty Practitioner (Outpatient )

Women's & Infants Services Ob/Gyn Clinic
DBA: Women's & Infants Services Ob/Gyn Clinic
110 Irving St. NW, GAE3
Washington, DC, 20010

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Special Quality Awards

   Due to our commitment to accurate data reporting, The Joint Commission is suspending the practice of updating Special Quality Awards until
  further notice
  • 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program

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 above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below 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.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below 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.

The Joint Commission only reports measures endorsed by the National Quality Forum.
* 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 2019 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2019 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2019 - December 2019
Emergency Department National Comparison: nd 2 Statewide Comparison: nd 2
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

The Joint Commission only reports measures endorsed by the National Quality Forum.
* State results are not calculated for the National Patient Safety Goals.