Quality Report


Quality Report

University of Kentucky Hospital
HCO ID: 7760
800 Rose Street
Lexington, KY, 40536-0293
(859) 323-5000
www.ukhealthcare.uky.edu
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Home Care
Accreditation Decision
Effective Date
5/4/2022
Last Full Survey Date
5/3/2022
Last On-Site Survey Date
5/3/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
5/12/2023
Last Full Survey Date
5/6/2022
Last On-Site Survey Date
3/1/2024

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Comprehensive Stroke Center
Certification Decision
Effective Date
5/19/2022
Last Full Survey Date
5/18/2022
Last On-Site Survey Date
5/18/2022
Gold Seal
Ventricular Assist Device
Certification Decision
Effective Date
5/12/2022
Last Full Survey Date
5/11/2022
Last On-Site Survey Date
5/11/2022

Sites

Cardinal Hill Outpatient Services
DBA: Cardinal Hill Outpatient Services
2050 Versailles Road Entrance D
Lexington, KY, 40504

Available Services

  • Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

  • UKHC Outpatient Therapy Services - Cardinal Hill
  • UKHC Physical Medicine and Rehabilitation Clinic

Fountain Court Building
245 Fountain Court
Lexington, KY, 40509

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Perform Invasive Procedure (Outpatient )
  • Urgent Care (Outpatient )

Other Clinics/Practices Located at This Site:

  • Primary Care Clinic Fountain Court
  • Psychiatry Outpatient Clinic

Kentucky Children's Richmond Road
1900 Richmond Road
Lexington, KY, 40502-1204

Available Services

  • Outpatient Clinics (Outpatient )

Kentucky Clinic South
2400 Greatstone Point
Lexington, KY, 40504

Available Services

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

Other Clinics/Practices Located at This Site:

  • General Pediatrics at Kentucky Clinic South
  • Pain Management Clinic
  • Team Blue Primary Care Clinic

Landmark Office Centre
DBA: Landmark Office Centre
202 Bevins Lane
Georgetown, KY, 40324

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Family and Community Medicine - Georgetown

Markey Cancer Center at Lexington Clinic Richmond
2019 Corporate Drive
Richmond, KY, 40475

Available Services

  • Outpatient Clinics (Outpatient )

Norton Medical Plaza East - Audubon
3 Audubon Plaza Drive; Suite 150
Louisville, KY, 40217

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • UK Transplant and Specialty Clinic Louisville

Polk-Dalton Clinic
217 Elm Tree Lane
Lexington, KY, 40508

Available Services

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

UK – The Apothecary
160 Ave of Champions, Room A-151
Lexington, KY, 40508

Available Services

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

UK Bluegrass Clinic Pharmacy
3101 Beaumont Centre Circle, Rm 135
Lexington, KY, 40513

Available Services

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

UK Chandler Retail Pharmacy
1000 S Limestone St Pavilion A Rm A.01.114
Lexington, KY, 40536

Available Services

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

UK Fountain Court Pharmacy
DBA: UK Fountain Court Pharmacy
245 Fountain Court
Lexington, KY, 40509

Available Services

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

UK HealthCare - Wellington Building
531 Wellington Way
Lexington, KY, 40503

Available Services

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

Other Clinics/Practices Located at This Site:

  • UK Infusion Center - Wellington

UK HealthCare Good Samaritan Hospital
310 South Limestone Street
Lexington, KY, 40508

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • 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 )
  • Family Support (Non 24 Hour Care )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Outpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • 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 )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Other Clinics/Practices Located at This Site:

  • Sleep Disorders Clinic Good Samaritan

UK HealthCare Good Samaritan Medical Office Building
125 E. Maxwell Street
Lexington, KY, 40508

Available Services

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

Other Clinics/Practices Located at This Site:

  • Good Samaritan MOB Urology
  • Heart and Vascular Institute at Maxwell
  • Surgical Specialties

UK HealthCare Good Samaritan Professional Arts Center
135 East Maxwell Street
Lexington, KY, 40508

Available Services

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

Other Clinics/Practices Located at This Site:

  • Nephrology Clinic at Good Samaritan Professional Arts Center
  • Specialty Care Clinic at Maxwell

UK HealthCare Good Samaritan Retail Pharmacy
310 S Limestone St, Rm C-017
Lexington, KY, 40508

Available Services

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

Other Clinics/Practices Located at This Site:

  • UK Good Samaritan Retail Pharmacy

UK HealthCare Kentucky Clinic
740 South Limestone Street
Lexington, KY, 40536-0284

Available Services

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

Other Clinics/Practices Located at This Site:

  • Cardiothoracic Surgery Clinic
  • Comprehensive Vascular Clinic
  • General Surgery Clinic
  • Interventional Vascular Radiology Clinic
  • Kentucky Neuroscience Institute
  • Medicine specialties Clinic
  • Orthopaedics Clinic Kentucky Clinic
  • Pediatric Congenital Heart Clinic
  • Pediatric Specialty Clinic
  • Transplant Clinic Kentucky Clinic
  • Urology Clinic
  • Women's Health Clinic

UK Kentucky Clinic
DBA: UK Kentucky Clinic Pharmacy
740 S Limestone 1st Floor, Room J134
Lexington, KY, 40536-0284

Available Services

  • Blood Glucose Monitors (non-mail order)
  • Durable Medical Equipment
  • Nebulizers Equipment
  • Respiratory Equipment

UK Kentucky Clinic
DBA: UK DME
740 S Limestone 1st Floor, Room K126
Lexington, KY, 40536-0284

Available Services

  • Blood Glucose Monitors (non-mail order)
  • Canes and Crutches
  • Commodes
  • Continuous Positive Airway Pressure
  • Custom Orthoses Fabricated
  • Durable Medical Equipment
  • Enteral Equipment and/or Supplies
  • Enteral Nutrients
  • Heat/Cold Applications
  • High Frequency Chest Wall Oscillation (HFCWO)
  • Infrared Heating Pad Systems
  • Nebulizers Equipment
  • Negative Pressure Wound
  • Neuromuscular Electrical Stimulators
  • Off The Shelf Orthoses
  • Ostomy Supplies
  • Prosthetics (Home Medical Equipment)
  • Respiratory Equipment
  • Seat Lift Mechanisms
  • Supplies
  • Surgical Dressings
  • Tens Units
  • Ultaviolet Light Devices
  • Urological Supplies
  • Walkers, Canes and Crutches
  • Wheelchair Seating / Cushions
  • Wheelchairs - Manual Non-Custom
  • Wheelchairs-Standard Manual Related Accessories and Repairs

UK Specialty Pharmacy
531 Wellington Way
Lexington, KY, 40503-1482

Available Services

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

UK Turfland Clinic Pharmacy
2195 Harrodsburg Rd
Lexington, KY, 40504

Available Services

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

UK University Health Pharmacy
UHS Bldg, RM 129, 830 S Limestone
Lexington, KY, 40536

Available Services

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

University Health Services Building
830 South Limestone
Lexington, KY, 40536

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Urgent Care (Outpatient )

Other Clinics/Practices Located at This Site:

  • Employee Health Services
  • Internal Medicine Group Clinic
  • Student Health Services
  • Urgent Care Clinic UK Health Plans

University of Kentucky Hospital
800 Rose Street
Lexington, KY, 40536-0298

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Brachytherapy (Imaging/Diagnostic Services )
  • Burn Unit (Inpatient )
  • 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 )
  • Family Support (Non 24 Hour Care )
  • 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 )
  • Orthopedic Surgery (Surgical Services )
  • 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 (Inpatient - 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 )
  • Pediatric Urology (Inpatient - Child/Youth )
  • Pediatric Urology (Outpatient - Child/Youth )
  • Peer Support (Non 24 Hour Care )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • 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
  • Ventricular Assist Device

Other Clinics/Practices Located at This Site:

  • Cancer Acute Treatment Clinic
  • Comprehensive Breast Care Center
  • Heart and Vascular Institute Gill
  • Hematology Clinic
  • Multidisciplinary Hematology Oncology Clinic
  • Multidisciplinary Hematology Oncology Head, Neck, Respirator
  • Obstetrics Gynecology Oncology Clinic
  • Pediatric Hematology Oncology Clinic
  • Precision Medicine Clinic
  • Radiation Medicine and Gamma Knife

University of Kentucky Turfland Clinic
2195 Harrodsburg Road
Lexington, KY, 40504

Available Services

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

Other Clinics/Practices Located at This Site:

  • Diabetes Center Adult Barnstable Brown
  • Diabetes Center Pediatric Barnstable Brown
  • Discharge Clinic
  • Family and Community Medicine Clinic
  • General and Weight Loss Surgery
  • Kentucky Neuroscience Institute - Child Neurology
  • Markey Cancer Center at Lexington Clinic
  • Plastic and Reconstructive Surgery
  • UK HealthCare Hand Center
  • Urgent Care Turfland

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 2022 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.