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About St. Joseph's
Home - Who We Are - Commitment to Quality

Commitment to Quality

How We Measure Our Performance

Hospital quality indicators are typically a set of measures that allow a potential patient, family member or significant other to obtain a perspective on how well the quality and safety of care is at a hospital.  These measures are generally accepted ways to assess a hospital’s clinical performance and overall patient outcomes. Virtually all U.S hospitals are measuring the safety and quality of care provided to patients within their organizations. The major focus is to use the measurements to promote improvements in both the delivery of care and the patient experience of care.

This information is shared with all of our medical and nursing staff regularly to promote safety and quality efforts in our hospital and health system on a daily basis. To see how our hospital measures with other local hospitals, click here. As it takes time to get data from Medicare, keep in mind that the data may be slightly older than what we have shared below.

The first column on the charts below represents the number of cases observed at St. Joseph's Hospital Health Center in the given quarter.

Metric Definitions

Frequency of Adhering to Established Guidelines for the Following Conditions April -June 2013

Predicted Number of Cases Based Upon The Medical Complexity of our Patients
Flu & Pneumonia Vaccine 91% 100%
Heart Attack 97% 100%
Heart Failure 97% 100%
Pneumonia 99% 100%
Surgical Care 98% 100%
Risk of Death in Hospital if You Admitted with One of the Following Conditions April - June 2013 (Reported Cases) Predicted Number of Cases Based Upon The Medical Complexity of our Patients
Overall 2 2
Heart Attack 10 7
Heart Failure 7 6
Pneumonia 3 5
Following Open Heart Surgery 0 0.5
Following Joint Replacement Surgery 0 0
Likelihood of Readmission to Hospital within 30 Days if You Are Discharged with One of the Following Conditions April -June 2013 Predicted Number of Cases Based Upon The Medical Complexity of our Patients
Heart Attack 5% 22%
Heart Failure 16% 25%
Pneumonia 13% 19%
Risk of Developing One of the Following Complications During Your Hospitalization April - June 2013 (Reported Cases)
Predicted Number of Cases Based Upon The Medical Complexity of our Patients
C. Difficile 11 22
Central Line Infections 1 2
Pneumonia & Other Lung Infections 38 45
Post-Operative Infection 1 1
Pressure/Bed Sore 24 12
Postoperative Blood Infection 1 270
Transfusion Reaction (Incompatible Blood) 0 0
How Satisfied Were Patients with Their Hospital Experiences Jan - April 2013
New York State Average Score 
Likelihood to Recommend Hospital 82% 64%
Overall Inpatient Hospital Stay 73% 61%
Rate of Hand Washing Observed Before and After Care at all
St. Joseph's Locations
April -June 2013 Predicted Number of Cases Based Upon The Medical Complexity of our Patients
% Compliant Observations 94% Data not yet reported in NYS
Employee Flu Vaccination for 2012-2013 Season     91%  Data not yet reported in NYS
 

Metric Definitions