Quality Report


Quality Report

Ascension Providence Hospital
HCO ID: 7494
16001 West Nine Mile Road
Southfield, MI, 48075-4854
(248) 849-3000
https://healthcare.ascension.org/Locations/Michigan/MIDET/As
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
6/24/2023
Last Full Survey Date
9/2/2022
Last On-Site Survey Date
8/4/2023

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Comprehensive Stroke Center
Certification Decision
Effective Date
8/10/2023
Last Full Survey Date
8/9/2023
Last On-Site Survey Date
8/9/2023
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
3/9/2023
Last Full Survey Date
3/8/2023
Last On-Site Survey Date
3/8/2023

Core Certification Programs

Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
4/21/2023
Last Full Survey Date
4/20/2023
Last On-Site Survey Date
4/20/2023
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
4/22/2023
Last Full Survey Date
4/21/2023
Last On-Site Survey Date
4/21/2023
Gold Seal
Medication Compounding
Certification Decision
Effective Date
10/7/2023
Last Full Survey Date
10/6/2023
Last On-Site Survey Date
10/6/2023

Sites

Ascension Farmington Hills Imaging
30055 Northwestern HIghway
Farmington, MI, 48334

Available Services

  • Single Specialty Practitioner (Outpatient )

Ascension Howell Imaging
1225 S. Latson Road
Howell, MI, 48843

Available Services

  • Single Specialty Practitioner (Outpatient )

Ascension Providence Heart Institute Outpatient Center
16001 West Nine Mile Road
Southfield, MI, 48075

Available Services

  • Single Specialty Practitioner (Outpatient )

Ascension Providence Hospital - Novi
47601 Grand River Avenue
Novi, MI, 48374

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • 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 )
  • 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 )
  • Thoracic Surgery (Surgical Services )
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Comprehensive Stroke Center
  • Joint Replacement - Hip
  • Joint Replacement - Knee

Ascension Providence Hospital - Southfield
16001 West Nine Mile Road
Southfield, MI, 48075

Available Services

  • 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 )
  • 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 )
  • General Laboratory Tests
  • 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 )
  • 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 )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Medication Compounding
  • Primary Stroke Center

Ascension Providence Hospital Pavilion Internal Medicine
47601-Grand River Ave. Suite B136
Novi, MI, 48374

Available Services

  • Single Specialty Practitioner (Outpatient )

Ascension Providence Maternal Fetal Medicine
47601 Grand River Avenue Suite A221
Novi, MI, 48374

Available Services

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

Ascension Providence Maternal Fetal Medicine
22250 Providence Drive Suite 100
Southfield, MI, 48075

Available Services

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

Ascension Providence Wound and Hyperbaric Center (Novi)
47601 Grand River Ave. Ste B223
Novi, MI, 48374

Available Services

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

Beacon Orthopedics of Michigan
30055 Northwestern Hwy Ste L30
Farmington Hills, MI, 48334

Available Services

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

Beacon Orthopedics of Michigan
26850 Providence Parkway Ste 355
Novi, MI, 48374

Available Services

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

Breast Center
22250 Providence Dr. Lower Level
Southfield, MI, 48076

Available Services

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

Consultants in Cardiology
30055 Northwestern Highway Ste 220
Farmington Hills, MI, 48334

Available Services

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

Consultants in Cardiology
47601 Grand River Ste 200
Novi, MI, 48374

Available Services

  • Administration of High Risk Medications (Outpatient )
  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient )

Deaborn Internal Medicine
23874 Kean St Ste 100
Dearborn, MI, 48124

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Deighton Family Practice
22250 Providence Drive, Ste 500
Southfield, MI, 48075

Available Services

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

Elliott Breast Center
47601 West Grand River
Novi, MI, 48374

Available Services

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

Farmington Hills Internists
30055 Northwestern Hwy Ste 150 & 160
Farmington Hills, MI, 48334

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Heart Cardiology Consultants
47601 Grand River Ste C202
Novi, MI, 48374

Available Services

  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient )

Heart Cardiology Consultants
1225 S. Latson Road Ste 230
Howell, MI, 48843

Available Services

  • Administration of High Risk Medications (Outpatient )
  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient )

Heart Cardiology Consultants
22250 Providence Drive Ste 705
Southfield, MI, 48075

Available Services

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

Livonia Internal Medicine
37595 W Seven Mile Road Ste 330
Livonia, MI, 48152

Available Services

  • Single Specialty Practitioner (Outpatient )

Michigan Institute for Sleep Medicine
47601 Grand River Ste B-229, A108
Novi, MI, 48374

Available Services

  • Single Specialty Practitioner (Outpatient )

Mission Medical Center, Livonia
37595 West Seven Mile, Suite 101
Livonia, MI, 48152

Available Services

  • Single Specialty Practitioner (Outpatient )

Motor City Orthopedics and Sports Medicine
26850 Providence Parkway, Suite 260
Novi, MI, 48374

Available Services

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

Nahid Elyas Internal Medicine
30055 Northwestern Hwy Ste 170
Farmington Hills, MI, 48334

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Oakland Family Medicine
30055 Northwestern Hwy Ste 240
Farmington Hills, MI, 48334

Available Services

  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient )

Oakland Internal Medicine Associates
1435 N Milford Rd Ste 101
Milford, MI, 48381

Available Services

  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient )

Omni Medical
22250 Providence Drive Ste 202
Southfield, MI, 48075

Available Services

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

Park Internal Medicine
26850 Providence Parkway Ste 505, 520
Novi, MI, 48374

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Pavilion Internal Medicine
22250 Providence Drive Suite 702
Southfield, MI, 48075

Available Services

  • Single Specialty Practitioner (Outpatient )

Physical Therapy
37595 Seven Mile Road, Ste 350
Livonia, MI, 48152

Available Services

  • Single Specialty Practitioner (Outpatient )

Physical Therapy
30055 Northwestern Highway, Ste L10
Farmington, MI, 48334

Available Services

  • Single Specialty Practitioner (Outpatient )

Primary Care Center
30055 Northwestern Highway, Suite 160
Farmington, MI, 48334

Available Services

  • Single Specialty Practitioner (Outpatient )

Providence Academic Internal Medicine
22250 Providence Drive Ste 301 A&B
Southfield, MI, 48075

Available Services

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

Providence Hospital GYN Procedure Clinic
30055 Northwestern Highway Suite 260
Farmington, MI, 48334

Available Services

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

Providence IM, Diabetes/Endocrinology
22255 Greenfield Rd Ste 403
Southfield, MI, 48075

Available Services

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

Providence IM, Diabetes/Endocrinology
47601 Grand River Ste A218
Novi, MI, 48374

Available Services

  • Administration of High Risk Medications (Outpatient )
  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient )

Providence Medical Center-South Lyon
210 North Lafayette
South Lyon, MI, 48178

Available Services

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

Providence Pelvic Health Center
30055 Northwestern Highway, Suite 260
Farmington, MI, 48334

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Providence West Oakland Internists
44000 W. 12 Mile Rd. Ste 200
Novi, MI, 48377

Available Services

  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient )

Providence Wound & Hyperbaric Center
22250 Providence Drive, Suite 608
Southfield, MI, 48075

Available Services

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

Cooperative Agreements

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

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 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.