Quality Report


Quality Report

Duke University Health System, Inc

DBA: Duke University Hospital
HCO ID: 6490
2301 Erwin Road
Durham, NC, 27710
(919) 684-8111
www.dukehealth.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
1/18/2024
Last Full Survey Date
7/29/2022
Last On-Site Survey Date
1/17/2024

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
4/21/2022
Last Full Survey Date
4/20/2022
Last On-Site Survey Date
4/20/2022
Gold Seal
Certification Decision
Effective Date
8/23/2023
Last Full Survey Date
8/22/2023
Last On-Site Survey Date
8/22/2023

Sites

Center for Living
3475 Erwin Road
Durham, NC, 27705

Available Services

  • Outpatient Clinics (Outpatient )

Croasdaile Medical Center
1821 Hillandale Road, Suite 25B
Durham, NC, 27705

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Duke Cardiopulmonary Rehabilitation

Duke Cancer Center Cary Infusion
216 Asheville Avenue
Cary, NC, 27518

Available Services

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

Duke Cancer Center Macon Pond Infusion
4101 Macon Pond Road
Raleigh, NC, 27607

Available Services

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

Duke Child and Family Studies
2608 Erwin Road, Suite 300A
Durham, NC, 27705

Available Services

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

Duke Clinic
30 Duke Medicine Circle
Durham, NC, 27710

Available Services

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

Other Clinics/Practices Located at This Site:

  • Clinic 1A Endocrinology
  • Clinic 2A Specialty Infusion Center (Non-Oncology)

Duke Clinic
40 Duke Medicine Circle
Durham, NC, 27710

Available Services

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

Other Clinics/Practices Located at This Site:

  • Clinic 1E Hematology
  • Clinic 1F ENT, Oral Surgery, Voice Care, Hospital Dentistry,
  • Clinic 1G Urology and Urodynamics Lab
  • Clinic 1H Ortho/Trauma
  • Clinic 1I Speech & Audiology
  • Clinic 1J GYN, Rheumatology, Geriatrics, Integrated and Peri
  • Clinic 1K Infectious Disease
  • Clinic 1L Neurology
  • Clinic 2B & 2C Transplant, Nephrology, Abdominal, Vascular a
  • Clinic 2D Perioperative Anesthesia & Surgical Screening
  • Clinic 2F & 2G Heart Failure, EP, Pulmonary, Heart and Lung
  • Clinic 2H Endoscopy
  • Clinic 2J Gastroenterology and GI Motility Lab
  • Clinic 2K Cardiac Diagnostic Unit & EKG Support Unit
  • Clinic 2M Neurodiagnostic Lab
  • Clinic 2N Sickle Cell Clinic, Sickle Cell Day Hospital and A
  • Clinic 2P Pulmonary & Special Procedures
  • Clinic 3J Wound Management, Plastics and Dermatology Laser L
  • Duke Hyperbaric Medicine Clinic

Duke Eye Center
2351 Erwin Road
Durham, NC, 27705

Available Services

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

Other Clinics/Practices Located at This Site:

  • Duke Eye Center Imaging and Retina Injection

Duke Health Center - NC Orthopaedic Clinic
3609 Southwest Durham Drive
Durham, NC, 27707

Available Services

  • Single Specialty Practitioner (Outpatient )

Duke Health Center at Morreene Rd
932 Morreene Road
Durham, NC, 27705

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Clinical Neuropsychology Clinic
  • Neurological Disorders Clinic

Duke Health Center at Southpoint
6301 Herndon Road
Durham, NC, 27713

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Duke University Hospital Imaging Services at Southpoint

Duke North Pavilion
2400 Pratt Street
Durham, NC, 27710

Available Services

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

Other Clinics/Practices Located at This Site:

  • Adult Bone Marrow Transplant Clinic
  • Ambulatory Surgery Center

Duke Outpatient Clinic
4220 N. Roxboro Rd.
Durham, NC, 27704

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Duke Health North Durham Specialty Clinic 1st Floor
  • Duke Outpatient Clinic 2nd Floor

Duke Pain Medicine
4309 Medical Park Dr
Durham, NC, 27704

Available Services

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

Duke Radiology at Patterson Place
5324 McFarland Drive Suite 160
Durham, NC, 27707

Available Services

  • Outpatient Clinics (Outpatient )

Duke Sleep Disorder Center
400 Elf Street
Durham, NC, 27705

Available Services

  • Outpatient Clinics (Outpatient )

Duke University Health System INC
DBA: Duke University Hospital
2301 Erwin Road
Durham, NC, 27710

Available Services

  • 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 )
  • 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 )
  • 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 )
  • 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
  • Ventricular Assist Device

Other Clinics/Practices Located at This Site:

  • 4200 Gynecology Outpatient Clinic

Duke University Hospital
2100 Erwin Road, Marshall I Pickens
Durham, NC, 27705

Available Services

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

Other Clinics/Practices Located at This Site:

  • Duke Family Medicine Center - Pickens

Duke University Hospital
20 Duke Medicine Circle
Durham, NC, 27710

Available Services

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

Other Clinics/Practices Located at This Site:

  • Clinic 0.0 Radiation Oncology
  • Clinic 1.0 Radiology
  • Clinic 2.1 Mammogram
  • Clinic 2.2 Breast Oncology, Cardio-oncology, Pallative care,
  • Clinic 3.1 Brain Tumor Institute with Neuro Oncology and Neu
  • Clinic 3.2 Thoracic Medical and Surgical Oncology, Thoracic
  • Clinic 4.0 Oncology Infusion
  • Clinic 5.1 Melanoma Surgery and Medical Oncology

Duke University Hospital
30 Duke Medicine Circle, Duke Clinic
Durham, NC, 27710-3000

Available Services

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

Other Clinics/Practices Located at This Site:

  • Clinic 1B/1C Spine

Duke University Pre Anesth
4709 Creekstone Drive
Durham, NC, 27707

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Duke Perioperative Anesthesia & Surgical Screening Clinic

Fetal Diagnostic Center
2608 Erwin Road Suite 200
Durham, NC, 27705

Available Services

  • Outpatient Clinics (Outpatient )

Lenox Baker Hospital Clinics
3000 Erwin Road
Durham, NC, 27705

Available Services

  • Outpatient Clinics (Outpatient )

Organization Commentary

Mr. Geogory Pauly, President

At Duke University Hospital, we are committed to providing high-quality care to our patients. By focusing on the National Patient Safety Goals, and through continuous performance improvement activities, we have sustained a high level of performance with the National Patient Safety Goals. The National Quality Improvement Goals initiative provides healthcare consumers with information on the quality of healthcare services so informed decisions can be made. We remain committed to enhancing the quality of our clinical care and patient safety by implementing best practices and by developing innovative methods of care. Please feel free to contact the Department of Accreditation and Regulatory Affairs at Duke University Hospital if you have any questions related to this information or about any of the services we provide. Phone (919) 681-8176.

Complementary Agreements