Albany Medical Center Hospital

Albany Medical Center Hospital

PFI # 0001

Revised: 6/05

Complaints:

Complaint Information: 2003
Complaint Investigations Completed: 34
Complaints with Statements of Deficiencies (SOD) issued: 11
% of Complaints with SODs Issued 32%
Regional % of Complaints with SODs issued: 37.2%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
12/23/02 405.19 Emergency Services 1/21/03
3/21/03 405.4 Medical Staff 10/27/03
4/25/03 405.4 Medical Staff 7/1/03
4/28/03 405.5 Nursing Services 7/1/03
  405.6 Quality Assurance Program  
  405.19 Emergency Services  
5/23/03 405.4 Medical Staff 7/2/03
  405.5 Nursing Services  
  405.9 Admission/Discharge  
  405.9 Admission/Discharge  
7/2/03 405.9 Admission/Discharge No POC Required
  405.21 Maternity and Newborn Services  
7/25/03 405.4 Medical Staff 8/18/03
5/28/03 405.10 Medical Records 9/26/03
  405.19 Emergency Services  
5/30/03 405.13 Anesthesia Services 6/20/03
12/8/03 405.4 Medical Staff 1/8/04
  405.5 Nursing Services  
8/29/03 405.4 Medical Staff 10/20/03

Areas Cited as a Result of Surveys: None

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
none

Most Recent Survey Date: 12/01 JCAHO

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
4/16/03 405.2 Governing Body 5/28/03
  405.6 Quality Assurance