University Hospital at Stonybrook
PFI # 0245
Revised: 3/02
Complaints:
| Complaint Information: | 2001 |
| Complaint Investigations Completed: | 50 |
| Complaints with Statements of Deficiencies (SOD) issued: | 19 |
| % of Complaints with SODs Issued | 38% |
| Regional % of Complaints with SODs issued: | 54.3% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 6/28/01 | 405.5 | Nursing services (b) Delivery of services | NO POC NEEDED |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 2/06/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | 3/16/01 |
| 3/05/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | 6/28/01 |
| 405.28 | Social services | ||
| 2/06/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | 3/16/01 |
| 5/03/01 | 405.7 | Patients’ rights (a) Procedural requirements (b) Hospital responsibilities | 7/26/01 |
| 405.11 | Infection Control (b) Control of infections and communicable diseases | ||
| 405.19 | Emergency services (e) Patient care | ||
| 6/28/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | NO POC NEEDED |
| 405.9 | Admission/discharge (f) Discharge | ||
| 2/06/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | 3/16/01 |
| 6/04/01 | 405.5 | Nursing services (b) Delivery of services | 12/12/01 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 6/28/01 | 405.6 | Quality assurance program (b) Activities of the quality assurance committee | 10/03/01 |
| 6/21/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | NO POC NEEDED |
| 7/30/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | NO POC NEEDED |
| 2/06/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | 3/16/01 |
| 4/01/01 | 405.2 | Governing body (b) Organization and operation (c) Compliance with federal, state and local laws (d) Chief executive officer | 01/11/02 |
| 405.3 | Administration (a) Chief executive officer | ||
| 405.5 | Nursing services (a) Organization and staffing (e) Quality assurance | ||
| 405.6 | Quality assurance program (a) Quality assurance committee | ||
| 405.17 | Pharmaceutical services (a) Organization and direction (b) Operation and service delivery | ||
| 6/28/01 | 405.4 | Medical staff (a) Medical staff accountability | 1/15/02 |
| 405.5 | Nursing services (b) Delivery of services (e) Quality assurance | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 6/01/01 | 405.6 | Quality assurance program (b) Activities of the quality assurance committee | 11/02/01 |
| 405.20 | Outpatient services (c) Patient care | ||
| 6/28/01 | 405.4 | Medical staff (a) Medical staff accountability | 12/12/01 |
| 405.7 | Patients' Rights (b) Hospital Responsibilities | ||
| 405.20 | Outpatient services (a) General requirements | ||
| 2/01/01 | 405.6 | Quality assurance program (b) Activities of the quality assurance committee | NO POC NEEDED |
| 6/25/01 | 405.10 | Medical records (a) General requirements | 10/12/01 |
| 6/21/01 | 405.2 | Governing body (b) Organization and operation | 1/31/02 |
| 405.4 | Medical staff (a) Medical staff accountability (f) Post-graduate trainees | ||
| 405.6 | Quality assurance program (a) Quality assurance committee | ||
| 405.7 | Patients' rights (b) Hospital responsibilities |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |