Quality Report


Quality Report

County of Los Angeles Auditor Controller

DBA: LAC+USC Medical Center
HCO ID: 9931
1200 North State Street. IPT C2K100
Los Angeles, CA, 90033
(323) 409-2800
www.dhs.lacounty.gov/lacusc/
Summary of Quality Information

Accreditation Programs

Gold Seal
Ambulatory Care
Accreditation Decision
Effective Date
10/12/2019
Last Full Survey Date
10/11/2019
Last On-Site Survey Date
10/11/2019
Gold Seal
Hospital
Accreditation Decision
Effective Date
3/13/2021
Last Full Survey Date
10/11/2019
Last On-Site Survey Date
7/9/2021

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
4/7/2021
Last Full Survey Date
4/6/2021
Last On-Site Survey Date
4/6/2021

Core Certification Programs

Gold Seal
Certification Decision
Effective Date
2/15/2020
Last Full Survey Date
2/14/2020
Last On-Site Survey Date
2/14/2020

Sites

County of Los Angeles Auditor Controller
DBA: LAC+USC Medical Center
1200 North State Street, IPT C2K100
Los Angeles, CA, 90033

Available Services

  • Allergen Extract (Inpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - 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 )
  • Community Integration (Non 24 Hour Care )
  • Coronary Care Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • 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
  • 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
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Outpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Mammography
  • 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 )
  • Nuclear Pharmacy (Inpatient )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Pediatric Cardiology (Inpatient - Child/Youth )
  • Pediatric Cardiology (Outpatient - Child/Youth )
  • Pediatric Cardiothoracic Surgery (Inpatient - Child/Youth )
  • Pediatric Dentistry
  • Pediatric Dentistry (Outpatient - Child/Youth )
  • Pediatric Dermatology
  • 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
  • Pediatric Gastroenterology (Inpatient - Child/Youth )
  • Pediatric Gastroenterology (Outpatient - Child/Youth )
  • Pediatric General Surgery
  • Pediatric General Surgery (Inpatient - Child/Youth )
  • Pediatric General Surgery (Outpatient - Child/Youth )
  • Pediatric Nephrology
  • 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
  • Pediatric Otolaryngology (Inpatient - Child/Youth )
  • Pediatric Otolaryngology (Outpatient - Child/Youth )
  • Pediatric Plastic Surgery
  • Pediatric Plastic Surgery (Inpatient - Child/Youth )
  • Pediatric Plastic Surgery (Outpatient - Child/Youth )
  • Pediatric Unit (Inpatient )
  • Pediatric Urology
  • Pediatric Urology (Inpatient - Child/Youth )
  • Pediatric Urology (Outpatient - Child/Youth )
  • Plastic Surgery
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET)
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sleep Laboratory (Sleep Laboratory )
  • Sleep Studies (Outpatient )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Asthma, Pediatrics
  • Primary Stroke Center

County of Los Angeles Auditor Controller
DBA: LAC+USC Medical Center - Hawkins
1720 E. 120th St.
Los Angeles, CA, 90059

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )

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 above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below 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.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below 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.

The Joint Commission only reports measures endorsed by the National Quality Forum.
* 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.

Ambulatory Care 2019 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2019 - December 2019
Emergency Department National Comparison: nd 2 Statewide Comparison: nd 2
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

The Joint Commission only reports measures endorsed by the National Quality Forum.
* State results are not calculated for the National Patient Safety Goals.