Quality Report


Quality Report

Henry Ford Macomb Hospital
HCO ID: 7559
15855 Nineteen Mile Road
Clinton Township, MI, 48038
(586) 263-2700
www.henryfordmacomb.com
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
1/18/2024
Last Full Survey Date
7/15/2022
Last On-Site Survey Date
1/17/2024

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
12/1/2021
Last Full Survey Date
11/30/2021
Last On-Site Survey Date
11/30/2021

Core Certification Programs

Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
10/11/2023
Last Full Survey Date
10/10/2023
Last On-Site Survey Date
10/10/2023
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
10/11/2023
Last Full Survey Date
10/10/2023
Last On-Site Survey Date
10/10/2023
Gold Seal
Medication Compounding
Certification Decision
Effective Date
8/24/2023
Last Full Survey Date
8/23/2023
Last On-Site Survey Date
8/23/2023

Sites

Henry Ford Health Acute care Surgery Clinic and Trauma
43281 Commons Drive
Clinton Township, MI, 48038

Available Services

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

Henry Ford Health Center - Fraser
15717 Fifteen Mile Road
Clinton Township, MI, 48035

Available Services

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

Other Clinics/Practices Located at This Site:

  • Henry Ford Fraser Family Medicine
  • Henry Ford Fraser Lab Services
  • Henry Ford Fraser Obstetrics & Gynecology
  • Henry Ford Fraser Radiology & Imaging

Henry Ford Health Center - Orchard View
12150 30 Mile Rd.
Washington, MI, 48095

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Henry Ford Washington Township Lab Services
  • Henry Ford Washington Township Orthopedics
  • Henry Ford Washington Township Radiology & Imaging
  • Henry Ford Washington Township Rehabilitation

Henry Ford Health Center - Richmond
67267 Main Street
Richmond, MI, 48062

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Henry Ford Richmond Cardiac Rehabilitation
  • Henry Ford Richmond Family Medicine
  • Henry Ford Richmond Lab Services
  • Henry Ford Richmond Radiology & Imaging
  • Henry Ford Richmond Rehabilitation
  • Henry Ford Richmond Walk-In Clinic

Henry Ford Health Center -Chesterfield
30795 23 Mile Road
New Baltimore, MI, 48047

Available Services

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

Other Clinics/Practices Located at This Site:

  • Henry Ford Chesterfield Family Medicine
  • Henry Ford Chesterfield Lab Services
  • Henry Ford Chesterfield Obstetrics & Gynecology
  • Henry Ford Chesterfield Orthopedics
  • Henry Ford Chesterfield Radiology & Imaging
  • Henry Ford Chesterfield Rehabilitation
  • Henry Ford Chesterfield Wound Care and Hyperbaric Medicine
  • Henry Ford Macomb Chesterfield Rehab Services

Henry Ford Health Imaging
133 South Main
Mount Clemens, MI, 48043

Available Services

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

Henry Ford Health Internal Medicine Specialty Care
13801 15 Mile Rd,
Sterling Heights, MI, 48312

Available Services

  • Outpatient Clinics (Outpatient )

Henry Ford Health Macomb Hospital
15855 Nineteen Mile Road
Clinton Township, MI, 48038

Available 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 )
  • 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 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 )
  • 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 )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

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

Henry Ford Health Medical Center - Bruce Township
80650 Van Dyke
Bruce Township, MI, 48065

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Henry Ford Bruce Township Family Medicine
  • Henry Ford Bruce Township Lab Services
  • Henry Ford Bruce Township Orthopedics
  • Henry Ford Bruce Township Radiology & Imaging
  • Henry Ford Bruce Township Rehabilitation

Henry Ford Health Medical Office Pavilion
16151 19 Mile Road
Clinton Township, MI, 48038

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Henry Ford Bariatric Medicine
  • Henry Ford Trauma Clinic
  • Henry Ford Vascular Surgery
  • Lakeside OB/GYN

Henry Ford Health OB/GYN - Macomb Township
16360 26 Mile Road
Macomb, MI, 48042

Available Services

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

Henry Ford Health Obstetrics and Gynecology - Macomb
17941 Hall Road
Clinton Township, MI, 48038

Available Services

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

Henry Ford Health Obstetrics and Gynecology - Warren
14049 13 Mile Ste 6
Warren, MI, 48088

Available Services

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

Henry Ford Health Orthopedics
43251 Commons Drive
Clinton Township, MI, 48038

Available Services

  • Single Specialty Practitioner (Outpatient )

Henry Ford Health Outpatient Rehab - Clinton Township
16301 Nineteen Mile Road
Clinton Township, MI, 48038

Available Services

  • Outpatient Clinics (Outpatient )

Henry Ford Health Physical Rehab & Sports Medicine
DBA: Outpatient Rehab/Physicial Therapy
15595 15 Mile Rd, Clinton Twp, MI
Clinton Township, MI, 48035

Available Services

  • Outpatient Clinics (Outpatient )

Henry Ford Health Shelby Family Medicine
51221 Schoenherr Ste 201
Shelby Township, MI, 48315

Available Services

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

Henry Ford Health Vascular Surgery
43191 Dalcoma Dr. Suite 101
Clinton Township, MI, 48038

Available Services

  • Single Specialty Practitioner (Outpatient )

Henry Ford Health- Hematology Oncology
43630 Hayes Rd, Suite 200
Clinton Township, MI, 48038

Available Services

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

Henry Ford Health- Sleep Medicine Center
43650 Garfield, Clinton Township, MI 48038
Clinton Township, MI, 48038

Available Services

  • Single Specialty Practitioner (Outpatient )

Henry Ford Heath Seville Center
15520 19 Mile Road
Clinton Township, MI, 48038

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Henry Ford Seville Cardiac Rehabilitation
  • Henry Ford Seville Neighbors Caring for Neighbors
  • Henry Ford Seville Orthopedics
  • Henry Ford Seville Plastic Surgery
  • Henry Ford Seville Residency Clinic
  • Henry Ford Seville Weight Management
  • Henry Ford Seville Wound Care

Josephine Ford Cancer Institute
15855 19 Mile Road,
Clinton Township, MI, 48038

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (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 2024 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.