Alphabetical Directory of Listed Patient Safety Organizations (Continued)

Street Address: 111 Hunter Drive; West Hartford, CT 06107
Mailing Address: Same as street address
Phone: (860) 521-8484
Fax: (860) 519-5674
Web Site: www.qatoqi.com
Point of Contact: Marc T Edwards, MD, MBA
Point of Contact Phone: (860) 521-8484
Point of Contact Email: marc@qatoqi.com
Two Contract Certification Due By 06/30/2012: Requirement Fulfilled on 12/21/2010
Disclosures & Findings: The Department of Health and Human Services determined no action was required regarding the PSO's relationships with the following contracting provider(s):

• St. Joseph's Hospital, Syracuse, NY
• Stamford Hospital, Stamford, CT

Street Address: P.O. Box 2475; Anderson, IN 46018
Mailing Address: Same as street address
Phone: Not Provided
Fax: (866) 267-0777
Web Site: www.qaisys.com
Point of Contact: Richard B. Dale
Point of Contact Phone: (765) 606-8601
Point of Contact Email: rdale@qaisys.com
Two Contract Certification Due By 02/04/2013: Information Not Received
Disclosures & Findings: The Department of Health and Human Services determined no action was required regarding the PSO's relationships with the following contracting provider(s):

• St. Vincent Mercy Hospital and its staff, Elwood, IN

Street Address: 900 Hope Way; Altamonte Springs, FL 32714
Mailing Address: Same as street address
Phone: (407) 357-2100
Fax: Not Provided
Web Site: Not Provided
Point of Contact: Stacy Prince
Point of Contact Phone: (407) 357-2290
Point of Contact Email: Stacy.Prince@ahss.org
Two Contract Certification Due By 01/07/2013: Information Not Received
Disclosures & Findings: None
Subject to FDA-Regulated Reporting Entity Guidance: No

Street Address: 690 North McCarthy Blvd., Suite 200; Milpitas, CA 95035
Mailing Address: Same as street address
Phone: (408) 514-4868
Fax: (408) 957-3320
Web Site: www.quantros.com/pscenter.html
Point of Contact: Monica C. Berry
Point of Contact Phone: (312) 519-6656
Point of Contact Email: mberry@quantros.com
Two Contract Certification Due By 11/19/2012: Information Not Received
Disclosures & Findings: None
Subject to FDA-Regulated Reporting Entity Guidance: No

Street Address: 1800 NW 10th Avenue (T215); Miami, FL 33136
Mailing Address: Same as street address
Phone: (305) 585-1968
Fax: (305) 585-1876
Web Site: www.rydertraumapso.med.miami.edu
Point of Contact: Lisette DiFilippi
Point of Contact Phone: (305) 585-1968
Point of Contact Email: Ldifilippi@med.miami.edu
Two Contract Certification Due By 11/26/2012: Information Not Received
Disclosures & Findings: None
Subject to FDA-Regulated Reporting Entity Guidance: No

Street Address: 200 Corporate Blvd., Suite 201; Lafayette, LA 70508
Mailing Address: Same as street address
Phone: (337) 354-1255
Fax: (337) 262-7425
Web Site: Not Provided
Point of Contact: Kristi Thibodeaux
Point of Contact Phone: (337) 280-2118
Point of Contact Email: Kristi_thibodeaux@schumachergroup.com
Two Contract Certification Due By 07/20/2013: Information Not Received
Disclosures & Findings: None
Subject to FDA-Regulated Reporting Entity Guidance: No

Street Address: 633 North Saint Clair Street; Chicago, IL 60611
Mailing Address: Same as street address
Phone: (312) 334-2300
Fax: (312) 334-2320
Web Site: www.vascularweb.org
Point of Contact: Carrie Bosela, RN, CPC, CPC-I
Point of Contact Phone: (603) 298-5509 Ext. 329
Point of Contact Email: c.bosela@svspso.org
Two Contract Certification Due By 02/16/2013: Requirement Fulfilled on 03/29/2011
Disclosures & Findings: None
Subject to FDA-Regulated Reporting Entity Guidance: No

Street Address: 1500 Spring Garden Street, Suite 501; Philadelphia, PA 19130
Mailing Address: Same as street address
Phone: (267) 702-2632
Fax: Not Provided
Web Site: www.hospitalmedicine.org/pso
Point of Contact: Wendy K. Nickel, MPH
Point of Contact Phone: (267) 702-2678
Point of Contact Email: wnickel@hospitalmedicine.org
Two Contract Certification Due By 02/16/2013: Requirement Fulfilled on 07/18/2011
Disclosures & Findings: None
Subject to FDA-Regulated Reporting Entity Guidance: No

Street Address: 10 Commerce Drive; New Rochelle, NY 10801
Mailing Address: Same as street address
Phone: (914) 637-3526
Fax: (914) 633-3287
Web Site: Not Provided
Point of Contact: Herbert M. Dembitzer
Point of Contact Phone: (914) 637-3526
Point of Contact Email: hdembitzer@somniainc.com
Two Contract Certification Due By 07/20/2013: Information Not Received
Disclosures & Findings: None
Subject to FDA-Regulated Reporting Entity Guidance: No

Street Address: 49 Farm View Drive, Suite 301; New Gloucester, ME 04260
Mailing Address: Same as street address
Phone: (207) 688-8486
Fax: (207) 688-8485
Web Site: www.specialtybenchmarks.com
Point of Contact: Frederick Brown
Point of Contact Phone: (207) 688-8486
Point of Contact Email: fred.brown@specialtybenchmarks.com
Two Contract Certification Due By 07/27/2013: Information Not Received
Disclosures & Findings: None
Subject to FDA-Regulated Reporting Entity Guidance: No

Street Address: 4951 West Bay Way Drive; Tampa, FL 33629
Mailing Address: Same as street address
Phone: (813) 545-4198
Fax: Not Provided
Web Site: www.surgicalsafe.com
Point of Contact: Mary C. Karl
Point of Contact Phone: (813) 545-4198
Point of Contact Email: ckarl@surgicalsafe.com
Two Contract Certification Due By 03/18/2013: Information Not Received
Disclosures & Findings: None
Subject to FDA-Regulated Reporting Entity Guidance: No