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National Quality Reporting Measures

Why Are We Publishing Quality Data?

You can't improve what you don't measure. That is why we have committed to measuring and publicly reporting our performance. In these quality reports we show our patient satisfaction scores and performance on nationally recognized quality indicators and practices. These measures will help you assess our clinical quality on specific procedures and conditions as compared to established national standards and other hospitals. We are proud of what we have accomplished and we want to share these results with you.

How Often Will the Data Be Updated?

Quality reports will be updated quarterly.

What Are Our Quality Reporting Measures?

Heart Attack (also called Acute Myocardial Infarction-AMI), Heart Failure, Pneumonia and Surgical Infection Prevention. These conditions are common reasons for patients to go to the hospital and affect hundreds of thousands of patients each year.

We present composite scores for each of the quality report measures. Each graph shows our percent compliance with every process of patient care being measured. For example, a score of 95% means we were compliant with patient care best practices 95% of the time.

Why Are These Quality Measures (also known as National Quality Improvement Goals) Important?

  • Achievement of these goals is evaluated against standardized performance measures that hospitals are expected to follow for improving patient care and outcomes.
  • Healthcare providers recognize these as “desirable goals” for treating patients with the identified conditions.
  • Patients who receive care based on certain desirable practices are more likely to improve or avoid other medical problems.