Quality Report


Quality Report

Rector & Visitors of the University of Virginia

DBA: University of Virginia Medical Center
HCO ID: 6329
1215 Lee Street
Charlottesville, VA, 22903
(434) 924-0000
www.uvahealth.com
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Home Care
Accreditation Decision
Effective Date
8/20/2021
Last Full Survey Date
8/19/2021
Last On-Site Survey Date
8/19/2021
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/18/2023
Last Full Survey Date
8/20/2021
Last On-Site Survey Date
2/17/2023

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Comprehensive Stroke Center
Certification Decision
Effective Date
4/16/2022
Last Full Survey Date
4/15/2022
Last On-Site Survey Date
4/15/2022
Gold Seal
Advanced Total Hip and Total Knee Replacement
Certification Decision
Effective Date
11/22/2022
Last Full Survey Date
9/21/2022
Last On-Site Survey Date
9/21/2022
Gold Seal
Chronic Obstructive Pulmonary Disease
Certification Decision
Effective Date
1/6/2024
Last Full Survey Date
1/5/2024
Last On-Site Survey Date
1/5/2024
Gold Seal
Ventricular Assist Device
Certification Decision
Effective Date
9/15/2023
Last Full Survey Date
9/14/2023
Last On-Site Survey Date
9/14/2023

Core Certification Programs

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

Sites

415 Ray C. Hunt Drive
415 Ray C. Hunt Drive
Charlottesville, VA, 22903

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Audiology and Vestibular
  • Diabetes and Endocrine (incl. Neuro Endocrine, Pituitary)
  • ENT (incl. Allergy & Sinus, Swallowing, Facial Reconstructiv
  • Neurosurgery (HRM)
  • Rheumatology
  • University Physicians-Charlottesville

500 Ray C. Hunt Drive
500 Ray C. Hunt Drive
Charlottesville, VA, 22903

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Cardiac and Pulmonary Rehabilitation
  • Heart and Vascular Center (HRM)
  • Pelvic Medicine and Reconstructive Surgery
  • Urology Clinic (HRM)

545 Ray C. Hunt Drive
545 Ray C. Hunt Drive
Charlottesville, VA, 22903

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Pain Management Clinic (HRM)
  • Physical Medicine and Rehabilitation (HRM)

650 Peter Jefferson Parkway
650 Peter Jefferson Parkway
Charlottesville, VA, 22911

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • UVA Primary and Specialty Care Pantops, Suite 290 (HRM)
  • UVA Rheumatology Pantops, Suite 190 (HRM)

Continuum Home Health Care
2205 Fontaine Avenue Colony Plaza
Charlottesville, VA, 22903

Available Services

  • Durable Medical Equipment
  • Enteral Equipment and/or Supplies
  • Enteral Nutrients
  • External Infusion Pump Supplies
  • External Infusion Pumps
  • Hazardous Medication Compounding
  • Home Health Aides
  • Home Health, Non-Hospice Services
  • Infusion Nursing
  • Infusion Pharmacy
  • Medical Social Services
  • Occupational Therapy
  • Parenteral Equipment and/or Supplies
  • Parenteral Nutrients
  • Pharmacy, Clinical Consulting Services
  • Pharmacy/Dispensary,General Services
  • Physical Therapy
  • Skilled Nursing Services
  • Speech Language Pathology
  • Sterile Medication Compounding
  • Supplies

Other Clinics/Practices Located at This Site:

  • Home Health Care, Suite 204
  • Home Infusion, Suite 104
  • Pharmacy, Suite 104

University of Virginia Medical Center
1215 Lee Street
Charlottesville, VA, 22903

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • 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 )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Adult )
  • Chemical Dependency (Detox - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • 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 )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Peer Support (Non 24 Hour Care )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • 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
  • Advanced Total Hip and Total Knee Replacement
  • Chronic Obstructive Pulmonary Disease
  • Heart Failure
  • Ventricular Assist Device

Other Clinics/Practices Located at This Site:

  • Augusta Health, Hospice of the Shenandoah
  • Care Hospice (dba Legacy Hospice)
  • Hospice of the Piedmont
  • Hospice Preferred Choice, Inc (dba AseraCare Hospice)
  • Incl. Primary Care Center, West Complex, & Univ Hosp Clinics

University Physicians JABA
674 Hillsdale Drive, Suite 3
Charlottesville, VA, 22901

Available Services

  • Outpatient Clinics (Outpatient )

UVA Breast Care Center
652 Peter Jefferson Parkway, Suite 200
Charlottesville, VA, 22911

Available Services

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

UVA Cancer Center Pantops
590 Peter Jefferson Parkway, Suite 175
Charlottesville, VA, 22911

Available Services

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

UVA Child and Family Psychiatry
310 Old Ivy Way, Suite 104
Charlottesville, VA, 22903

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Community Integration (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

UVA Children's Hospital Clinics
DBA: Battle Building
1204 West Main Street
Charlottesville, VA, 22903

Available Services

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

Other Clinics/Practices Located at This Site:

  • 5 Floors of Clinics-varies on each floor by day of the week
  • Outpatient Surgery
  • Peds Infusion Center

UVA Colonnades Medical Associates
100 Colonnades Hill Drive
Charlottesville, VA, 22901

Available Services

  • Outpatient Clinics (Outpatient )

UVA Crossroads Family Medicine
4916 Plank Road
North Garden, VA, 22959

Available Services

  • Ambulatory Surgery Center (Outpatient )

UVA Emily Couric Clinical Cancer Center
1240 Lee Street
Charlottesville, VA, 22903

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Blood Glucose Monitors (mail order)
  • Blood Glucose Monitors (non-mail order)
  • Durable Medical Equipment
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )
  • Supplies

Other Clinics/Practices Located at This Site:

  • Cancer Center Clinics--East and West
  • ECCCC Pharmacy, Room 1022 (retail, DME--Facility based 2014)
  • Gynecologic Oncology
  • Infusion Center
  • Infusion Pharmacy
  • Palliative Care
  • Radiation Oncology
  • UVA Pharmacy, Room 1407 (retail, DME-mail order/facility bas

UVA Endoscopy Monroe Lane
500 Monroe Lane
Charlottesville, VA, 22903

Available Services

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

UVA Family Medicine and Specialty Care Crozet
375 Four Leaf Lane, Suite 103
Charlottesville, VA, 22903

Available Services

  • Outpatient Clinics (Outpatient )

UVA Family Medicine Stoney Creek
2871 Rockfish Valley Highway
Nellysford, VA, 22958

Available Services

  • Outpatient Clinics (Outpatient )

UVA Focused Ultrasound Center
337 Crispell Drive
Charlottesville, VA, 22903

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )

UVA Health Orthopedic Center Ivy Road
2280 Ivy Road
Charlottesville, VA, 22903

Available Services

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

Certification Programs

  • Advanced Total Hip and Total Knee Replacement

Other Clinics/Practices Located at This Site:

  • Orthopedic Clinics-Blue
  • Orthopedic Clinics-Orange
  • Outpatient Surgery

UVA Jefferson Park Avenue Medical Office Building
1222 Jefferson Park Avenue
Charlottesville, VA, 22903

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Dentistry/Oral Surgery (HRM)
  • Same Day Clinic
  • Sleep Disorders Center
  • University Medical Associates

UVA Medical Park Augusta
57 Beam Lane
Fishersville, VA, 22939

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Blood Glucose Monitors (non-mail order)
  • Durable Medical Equipment
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • UVA Cancer Center Augusta (and Pharmacy) (HRM)
  • UVA Specialty Care Augusta Cardiology and Vascular

UVA Medical Park Zion Crossroads
1015 Spring Creek Parkway
Gordonsville, VA, 22942

Available Services

  • Blood Glucose Monitors (non-mail order)
  • Durable Medical Equipment
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Cardiology
  • Dermatology
  • Endocrinology
  • Interventional Radiology
  • Nephrology
  • Neurology
  • Obstetrics and Gynecology
  • Orthopedic Clinic
  • Pediatric Orthopedic Clinic
  • Physical Medicine and Rehabilitation
  • Primary Care
  • Pulmonary
  • Sports Medicine
  • Uro-Gynecology and Pelvic Reconstruction
  • Urology Clinic
  • Vascular Surgery

UVA Northridge Medical Park
2955 Ivy Road
Charlottesville, VA, 22903

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )

Other Clinics/Practices Located at This Site:

  • Adult Psychiatry
  • Allergy and Asthma (HRM)
  • Eye Clinic
  • Midlife Health
  • Northridge Pediatrics (HRM)
  • University Physicians for Women
  • Vein Clinic (HRM)

UVA Primary and Specialty Care (Orange)
661 University Lane
Orange, VA, 22960

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Orange Pediatrics
  • University Physicians-Orange (HRM)

UVA Radiation Oncology Moser
2871 Ivy Road
Charlottesville, VA, 22903

Available Services

  • Single Specialty Practitioner (Outpatient )

UVA Specialty Care Pinnacle Drive
9 Pinnacle Drive, Suite A03
Fishersville, VA, 22939

Available Services

  • Outpatient Clinics (Outpatient )

UVA-WorkMed Clinic
1910 Arlington Blvd
Charlottesville, VA, 22903

Available Services

  • Outpatient Clinics (Outpatient )

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

Laboratory - Accredited by American Society for Histocompatibility and Immunogenetics (ASHI)

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.

Home Care 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Hospital-Based Inpatient Psychiatric Services 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

* State results are not calculated for the National Patient Safety Goals.