Quality Report


Quality Report

Rush University Medical Center

DBA: Rush University Medical Center
HCO ID: 7297
1653 West Congress Parkway
Chicago, IL, 60612
(312) 942-5000
www.rush.edu
Summary of Quality Information

Accreditation Programs

Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
10/21/2021
Last Full Survey Date
10/20/2021
Last On-Site Survey Date
10/20/2021
Gold Seal
Hospital
Accreditation Decision
Effective Date
10/23/2021
Last Full Survey Date
10/22/2021
Last On-Site Survey Date
10/22/2021
Gold Seal
Laboratory
Accreditation Decision
Effective Date
5/3/2023
Last Full Survey Date
5/2/2023
Last On-Site Survey Date
5/2/2023

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
6/30/2022
Last Full Survey Date
6/29/2022
Last On-Site Survey Date
6/29/2022

Sites

Joan and Paul Rubschlager Building
1520 W. Harrison, Chicago
Chicago, IL, 60607

Available Services

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

Other Clinics/Practices Located at This Site:

  • Lung Center- Pulmonary Medicine
  • Lung Center- Thoracic Surgery
  • Neurosciences- Neurosurgery
  • Otolaryngology
  • Physical Medicine and Rehab
  • Plastic Reconstructive Surgery
  • Rush Cancer Center
  • Rush Neurology (including Epilepsy, Neuromuscular, and Strok
  • Surgery Breast- Surgical Oncology

Road Home Program:..
DBA: ...The National Center of Excellence for Veterans &Their Fam
325 S Paulina Ste, Ste 200
Chicago, IL, 60612

Available Services

  • Outpatient Clinics (Outpatient )

RUMC - 1725 West Harrison Street
1725 West Harrison Street
Chicago, IL, 60612

Available Services

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

Other Clinics/Practices Located at This Site:

  • Rush Arrhythmia Center
  • Rush Cardiology Heart Failure
  • Rush Dermatology Chicago
  • Rush Gender Affirmation
  • Rush General Nephrology
  • Rush Maternal Fetal Medicine
  • Rush Obstetrics and Gynecology
  • Rush Palliative Care
  • Rush Pediatric Infusion Center
  • Rush Plastic Surgery/Rush Craniofacial Center
  • Rush University Allergy and Immunology Chicago
  • Rush University Cardiology Chicago
  • Rush University Consultants in Endocrinology
  • Rush University Gastroenterology Chicago
  • Rush University General Neurology
  • Rush University General Surgery (Bariatrics)
  • Rush University General Surgery Chicago
  • Rush University General Surgery Chicago (Colorectal)
  • Rush University Hepatology Chicago
  • Rush University Neurology Movement Disorder Chicago
  • Rush University Neurology Multiple Sclerosis
  • Rush University Senior Care
  • Rush University Transplant Program Chicago
  • Rush University Urology Chicago
  • Rush Women's Health Urogynecology

RUMC - 610 South Maple Avenue
610 South Maple Avenue
Oak Park, IL, 60304

Available Services

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

Other Clinics/Practices Located at This Site:

  • Rush Cancer Center - Oak Park
  • Rush Otolaryngology - Head and Neck Surgery
  • Rush University Urology

Rush Center for Advanced Reproductive Care/Andrology Lab
1725 West Harrison Street, Suite 119
Chicago, IL, 60612

Available Services

  • General Laboratory Tests
  • Laboratory Draw Station (Outpatient )

Rush Center for Advanced Reproductive Care/Embryology Lab
1725 West Harrison Street, Suite 217
Chicago, IL, 60612

Available Services

  • Laboratory Draw Station (Outpatient )

Rush Day Hospital
2150 West Harrison Street
Chicago, IL, 60612

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )

Other Clinics/Practices Located at This Site:

  • Rush Day School

Rush Oak Brook Imaging and Mammography
2011 York Rd
Oak Brook, IL, 60523

Available Services

  • Outpatient Clinics (Outpatient )

Rush Pediatric Specialty Care- Kellogg Building
1650 West Harrison Street
Chicago, IL, 60612

Available Services

  • Outpatient Clinics (Outpatient )

Rush South Loop Imaging and Mammography
1411 S. Michigan Ave
Chicago, IL, 60605

Available Services

  • Outpatient Clinics (Outpatient )

Rush University Infectious Diseases
600 South Paulina Street, Suite 140
Chicago, IL, 60612

Available Services

  • Outpatient Clinics (Outpatient )

Rush University Medical Center
1653 West Congress Parkway
Chicago, IL, 60612

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 )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • Eating Disorders
  • Eating Disorders (Outpatient )
  • 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 (Inpatient )
  • Interventional Radiology (Outpatient )
  • 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 Cardiac Catheterization (Inpatient - Child/Youth )
  • Pediatric Cardiac Catheterization (Outpatient - Child/Youth )
  • Pediatric Cardiology (Inpatient - Child/Youth )
  • Pediatric Cardiology (Outpatient - Child/Youth )
  • Pediatric Cardiothoracic Surgery (Inpatient - Child/Youth )
  • Pediatric Cardiothoracic Surgery (Outpatient - Child/Youth )
  • Pediatric Dentistry (Inpatient - Child/Youth )
  • Pediatric Dentistry (Outpatient - Child/Youth )
  • Pediatric Dermatology (Inpatient - Child/Youth )
  • Pediatric Dermatology (Outpatient - Child/Youth )
  • Pediatric Emergency Medicine (Outpatient - Child/Youth )
  • Pediatric Endocrinology (Inpatient - Child/Youth )
  • Pediatric Endocrinology (Outpatient - Child/Youth )
  • Pediatric Gastroenterology (Inpatient - Child/Youth )
  • Pediatric Gastroenterology (Outpatient - Child/Youth )
  • Pediatric General Surgery (Inpatient - Child/Youth )
  • Pediatric General Surgery (Outpatient - Child/Youth )
  • Pediatric Nephrology (Inpatient - Child/Youth )
  • Pediatric Nephrology (Outpatient - Child/Youth )
  • Pediatric Neurosurgery (Inpatient - Child/Youth )
  • Pediatric Neurosurgery (Outpatient - Child/Youth )
  • Pediatric Ophthalmology (Inpatient - Child/Youth )
  • Pediatric Ophthalmology (Outpatient - Child/Youth )
  • Pediatric Oral/Maxofacial Surgery (Inpatient - Child/Youth )
  • Pediatric Oral/Maxofacial Surgery (Outpatient - Child/Youth )
  • Pediatric Otolaryngology (Inpatient - Child/Youth )
  • Pediatric Otolaryngology (Outpatient - Child/Youth )
  • Pediatric Plastic Surgery (Inpatient - Child/Youth )
  • Pediatric Plastic Surgery (Outpatient - Child/Youth )
  • 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 )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • 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

Rush University Medical Center - Midwest Orthopedics
1611 West Harrison Street
Chicago, IL, 60612

Available Services

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

Other Clinics/Practices Located at This Site:

  • Rush Otolaryngology, Head and Neck Surgery
  • University Rheumatologists

Rush University Medical Center at Lisle
430 Warrenville Road, Suite 200
Lisle, IL, 60532

Available Services

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

Rush University Psychology Jackson
1645 West Jackson Boulevard, Suite 400
Chicago, IL, 60612

Available Services

  • Outpatient Clinics (Outpatient )

Rush University Sleep Medicine
710 South Paulina, 600 South
Chicago, IL, 60612

Available Services

  • Outpatient Clinics (Outpatient )

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 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Laboratory 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.