The Joint Commission
Quality Check


  Symbol Key
This organization achieved the best possible results
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
This organization’s performance is below the target range/value.
Not displayed
Quality Report
Hospital
Holy Cross Hospital, Inc
Org ID: 6794

National Quality Improvement Goals: Heart Failure Care

Reporting Period: April 2013 - March 2014

  Compared to other Joint Commission Accredited Organizations
Measure Area
Nationwide Statewide
Heart Failure Care
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This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.

  Compared to other Joint Commission Accredited Organizations
  Nationwide Statewide
Measure Hospital
Results
Top 10% Scored at Least : Average Rate: Top 10% Scored at Least: Average Rate:
ACE inhibitor or ARB for LVSD*
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(See Quarterly Results)
This organization achieved the best possible results.
100% 97% 100% 98%
100% of
136 eligible Patients
LVF assessment*
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(See Quarterly Results)
This organization achieved the best possible results.
100% 100% 100% 100%
100% of
509 eligible Patients
National Quality Forum The Joint Commission only reports measures endorsed by the National Quality Forum.  
* This information can also be viewed at www.hospitalcompare.hhs.gov.
---- Null value or data not displayed.

1 - The measure or measure set was not reported.
2 - The measure set does not have an overall result.
3 - The number is not enough for comparison purposes.
4 - The measure meets the Privacy Disclosure Threshold rule.
5 - The organization scored above 90% but was below most other organizations.
6 - The measure results are not statistically valid.
7 - The measure results are based on a sample of patients.
8 - The number of months with measure data is below the reporting requirement.
9 - The measure results are temporarily suppressed.
10 - Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
11 - There were no eligible patients that met the denominator criteria.


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