Quality Report


Quality Report

El Paso County Hospital District

DBA: University Medical Center of El Paso
HCO ID: 9027
4815 Alameda Avenue
El Paso, TX, 79905
(915) 521-7420
www.umcelpaso.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Home Care
Accreditation Decision
Effective Date
10/5/2021
Last Full Survey Date
10/4/2021
Last On-Site Survey Date
10/4/2021
Gold Seal
Hospital
Accreditation Decision
Effective Date
10/9/2021
Last Full Survey Date
10/8/2021
Last On-Site Survey Date
10/8/2021
Gold Seal
Laboratory
Accreditation Decision
Effective Date
7/7/2023
Last Full Survey Date
7/6/2023
Last On-Site Survey Date
7/6/2023

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Comprehensive Stroke Center
Certification Decision
Effective Date
8/27/2022
Last Full Survey Date
8/26/2022
Last On-Site Survey Date
8/26/2022

Sites

El Paso County Hospital District
DBA: University Medical Center of El Paso Northeast Clinic
9839 Kenworthy St
El Paso, TX, 79924

Available Services

  • Outpatient Clinics (Outpatient )

El Paso County Hospital District
DBA: Neighborhood Healthcare Center - West
6600 N. Desert Blvd
El Paso, TX, 79912

Available Services

  • Outpatient Clinics (Outpatient )

El Paso County Hospital District
DBA: University Medical Center of El Paso Surgical Center-West
4642 North Mesa
El Paso, TX, 79912

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

El Paso County Hospital District
DBA: Neurosurgery Clinic
4824 Alberta Avenue Annex Floor 4th
El Paso, TX, 79905

Available Services

  • Outpatient Clinics (Outpatient )

El Paso County Hospital District
DBA: Neighborhood Healthcare Center - Dieter
1485 George Dieter Dr.
El Paso, TX, 79936

Available Services

  • Outpatient Clinics (Outpatient )

El Paso County Hospital District
DBA: University Medical Center of El Paso East Emergency Departme
1521 Joe Battle Blvd Suite B
El Paso, TX, 79936

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • High Risk Sterile Medication Compounding (Outpatient )

El Paso County Hospital District
DBA: University Medical Center Eastside Rehabilitation
8360 Burnham Suite 200
El Paso, TX, 79907

Available Services

  • Outpatient Clinics (Outpatient )

El Paso County Hospital District
DBA: Neighborhood Healthcare Center - East
1521 Joe Battle Boulevard
El Paso, TX, 79936

Available Services

  • Outpatient Clinics (Outpatient )

El Paso County Hospital District
DBA: Neighborhood Healthcare Center - Ysleta
300 S. Zaragoza
El Paso, TX, 79907

Available Services

  • Outpatient Clinics (Outpatient )

El Paso County Hospital District
DBA: University Medical Center of El Paso Northeast Emergency De
4669 Cohen Ave
El Paso, TX, 79924

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • High Risk Sterile Medication Compounding (Outpatient )

El Paso County Hospital District
DBA: Neighborhood Healthcare Center - Fabens
101 Potasio
Clint, TX, 79836

Available Services

  • Outpatient Clinics (Outpatient )

El Paso County Hospital District
DBA: University Medical Center of El Paso
4815 Alameda Avenue
El Paso, TX, 79905

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 )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding
  • 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
  • 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 )
  • Pharmacy, Clinical Consulting Services
  • Pharmacy/Dispensary,General Services
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding
  • 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

The El Paso County Hospital District
DBA: University Medical Center of El Paso Surgical Hospital
1416 George Dieter
El Paso, TX, 79936

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • 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 )
  • Inpatient Unit (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Orthopedic Surgery (Surgical Services )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

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 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 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.