Quality Report


Quality Report

Ronald Reagan UCLA Medical Center
HCO ID: 9944
757 Westwood Plaza
Los Angeles, CA, 90095
(310) 267-2041
www.uclahealth.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Home Care
Accreditation Decision
Effective Date
9/30/2022
Last Full Survey Date
9/29/2022
Last On-Site Survey Date
9/29/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
1/19/2024
Last Full Survey Date
9/30/2022
Last On-Site Survey Date
1/18/2024

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Comprehensive Stroke Center
Certification Decision
Effective Date
11/18/2023
Last Full Survey Date
11/17/2023
Last On-Site Survey Date
11/17/2023
Gold Seal
Ventricular Assist Device
Certification Decision
Effective Date
4/9/2022
Last Full Survey Date
4/8/2022
Last On-Site Survey Date
4/8/2022

Sites

Ronald Reagan UCLA Medical Center
DBA: Outpatient Services - Rehabilitation-PT/OT
1000 Veteran Avenue
Los Angeles, CA, 90095

Available Services

  • Custom Orthoses Fabricated
  • Limb Prostheses
  • Off The Shelf Orthoses
  • Orthoses Prefabricated - Custom fitted
  • Outpatient Clinics (Outpatient )
  • Prosthetics (Home Medical Equipment)

Ronald Reagan UCLA Medical Center
757 Westwood Plaza
Los Angeles, CA, 90095

Available Services

  • Brachytherapy (Imaging/Diagnostic 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 )
  • 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 )
  • 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 )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • 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

Ronald Reagan UCLA Medical Center
DBA: Research and Sleep Disorder at Clin & Translational Inst.
10833 Le Conte Avenue, BE-144
Los Angeles, CA, 90095

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Continuous Positive Airway Pressure
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )
  • Respiratory Assist Devices
  • Respiratory Equipment

Ronald Reagan UCLA Medical Center
DBA: Audiology Clinic
920 Westwood Blvd
Los Angeles, CA, 90095

Available Services

  • Cochlear Implants
  • Outpatient Clinics (Outpatient )
  • Prosthetics (Home Medical Equipment)

Ronald Reagan UCLA Medical Center
DBA: UCLA Stein Eye Institute
300 Stein Plaza
Los Angeles, CA, 90095

Available Services

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

Ronald Reagan UCLA Medical Center
DBA: UCLA Obstetrics and Gynecology Clinic
1010 Veteran Avenue
Los Angeles, CA, 90095

Available Services

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

Ronald Reagan UCLA Medical Center
DBA: Doris Stein Retina Treatment
200 Stein Plaza
Los Angeles, CA, 90095

Available Services

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

Ronald Reagan UCLA Medical Center
DBA: 100 Medical Plaza
UCLA Medical Plaza Building 100
Los Angeles, CA, 90095

Available Services

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

Ronald Reagan UCLA Medical Center
DBA: Outpatient Services - Audiology Clinic & Speech Pat.
200 Medical Plaza STE. 540
Los Angeles, CA, 90095

Available Services

  • Cochlear Implants
  • Outpatient Clinics (Outpatient )
  • Prosthetics (Home Medical Equipment)
  • Voice Prostheses

Ronald Reagan UCLA Medical Center
DBA: 300 Medical Plaza
UCLA Medical Plaza Building 300
Los Angeles, CA, 90095

Available Services

  • Single Specialty Practitioner (Outpatient )

Ronald Reagan UCLA Medical Center
DBA: 200 Medical Plaza
UCLA Medical Plaza Building 200
Los Angeles, CA, 90095

Available Services

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

Ronald Reagan UCLA Medical Center
DBA: UCLA Med Ctr Medical Plaza Level 1 PHY
200 Medical Plaza Suite 135
Los Angeles, CA, 90095

Available Services

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

Other Clinics/Practices Located at This Site:

  • This is a retail pharmacy only

Ronald Reagan UCLA Medical Center
DBA: UCLA Health Radiation Oncology Santa Clarita
27235 Tourney Road, Suite Suite 1400
Valencia, CA, 91355

Available Services

  • Outpatient Clinics (Outpatient )

Cooperative Agreements

Laboratory - Accredited by American Society for Histocompatibility and Immunogenetics (ASHI)

Complementary Agreements

Hospital - Accredited by UHMS Clinical Hyperbaric Facility - Level 1

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 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.