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
OSF Saint Francis Medical Center
Org ID: 7410

National Quality Improvement Goals: Pneumonia Care

Reporting Period: October 2013 - September 2014

  Compared to other Joint Commission Accredited Organizations
Measure Area
Nationwide Statewide
Pneumonia 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:
Blood cultures for pneumonia patients in intensive care units.
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(See Quarterly Results)
This organization’s performance is above the target range/value.
100% 98% 100% 99%
99% of
107 eligible Patients
Initial antibiotic selection for CAP in immunocompetent – ICU patient*
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(See Quarterly Results)
Not displayed.
3
100% 94% 100% 93%
88% of
17 eligible Patients3
Initial antibiotic selection for CAP in immunocompetent – non ICU patient*
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(See Quarterly Results)
This organization’s performance is similar to the target range/value.
100% 97% 100% 97%
96% of
169 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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